Individual provider Active NPI

Andrea Kay Smith-Gray, O.D.

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1740583442
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2874 Issued in MD
Practice address
419 W Redwood St
Baltimore, MD 21201-1734
Phone
(667) 214-2005
Fax
(410) 328-8327
NPI assigned
Dec 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2874 MD Primary

Addresses

Primary practice location

419 W Redwood St
Baltimore, MD 21201-1734

Mailing address

419 W Redwood St
Baltimore, MD 21201-1734
Phone (667) 214-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, IN, MD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20141001002235 TX Practitioner - Optometry 1850511502 Reassigns benefits to 1 organization
I20150817001465 KY Practitioner - Optometry 1850511502 Reassigns benefits to 1 organization
I20171129002597 IN Practitioner - Optometry 1850511502 Reassigns benefits to 1 organization
I20221012001856 MD Practitioner - Optometry 1850511502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2812OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
Cherokee Nation CurrentSince Aug 4, 2014 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Oct 1, 2022 Accepting new patients
Cherokee Nation CurrentSince Aug 4, 2014 Accepting new patients
Cherokee Nation Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2015 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Oct 1, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
K Rhodes OD PLLC Optometrist CurrentSince Oct 16, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2015 Accepting new patients

Locations

29605 N Cave Creek Rd
Ste 102
Cave Creek, AZ 85331
Phone (480) 361-7040

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

3104 Blackiston Blvd
New Albany, IN 47150
Phone (502) 551-8305

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710

401 E Chestnut St
Unit 710
Louisville, KY 40202
Phone 50258383031332

800 Zorn Ave
Louisville, KY 40206
Phone (502) 287-4047

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1740583442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "667-214-2005",
            "fax_number": "410-328-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "667-214-2005",
            "fax_number": "410-328-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-GRAY",
        "first_name": "ANDREA",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-19",
        "last_updated": "2024-01-30",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.