Active NPI
Andrea Kay Smith-Gray, O.D.
- Optometrist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2874
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2812 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| University of Maryland Eye Associates, P.a. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Maryland Eye Associates, P.a. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| K Rhodes OD PLLC | Optometrist | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | 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.
-
dba University Eye Care
- Ophthalmology Physician
- Baltimore, MD
- NPI 1285655829
-
dba Ulp ENT
- Otolaryngology Physician
- Louisville, KY
- NPI 1326318973
IN
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Eyewear Supplier
- Columbia, MD
- NPI 1194234849
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Nowata, OK
- NPI 1891703716
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
dba ULP Eye Specialists
- Ophthalmology Physician
- Louisville, KY
- NPI 1376818492
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.