Individual provider Active NPI

Duane Thomas Smyth, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1851375018
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG826 Issued in PA
Practice address
1221 E Carson St
Pittsburgh, PA 15203-1228
Phone
(412) 431-3139
NPI assigned
Dec 1, 2005
Last updated
Mar 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG826 PA Primary

Addresses

Primary practice location

1221 E Carson St
Pittsburgh, PA 15203-1228

Mailing address

872 Lovingston Dr
Pittsburgh, PA 15216-1726
Phone (412) 341-7062

Other identifiers 3

IdentifierTypeStateIssuer
0016938110001MedicaidPA
0016938110005MedicaidPA
501946OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000230 PA Practitioner - Optometry 2163609371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Gallery Inc.Group PAC ID 6608813381, 4 clinicians
E. Ronald Salvitti, M.D., Inc.Group PAC ID 0749192854, 14 clinicians

Practice addresses (Care Compare)

609 E McMurray Rd
MC Murray, PA 15317-3419
Phone (724) 941-3930

750 E Beau St
Washington, PA 15301-6661
Phone (724) 627-5383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG826PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
E. Ronald Salvitti, M.D., Inc. CurrentSince Nov 6, 1987 Accepting new patients
E. Ronald Salvitti, M.D., Inc. Optometrist CurrentSince Nov 6, 1987 Accepting new patients
Roslonski Optical Past Accepting new patients

Locations

750 E Beau St
Washington, PA 15301
Phone (724) 228-2982

Interoperability endpoints

  • Direct secure messaging: dsmythod@swpa.ecldirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1851375018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 LOVINGSTON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161726",
            "telephone_number": "412-341-7062",
            "fax_number": "412-341-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031228",
            "telephone_number": "412-431-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "DUANE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016938110001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016938110005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "501946",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.