Mark Leonard Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3440 T159 Issued in OH

Practice address

2500 Marietta Rd
Chillicothe, OH 45601-9458

Phone

(740) 775-6195

Fax

(740) 775-6195

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1851392054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARIETTA RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019458",
            "telephone_number": "740-775-6195",
            "fax_number": "740-775-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARIETTA RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019458",
            "telephone_number": "740-775-6195",
            "fax_number": "740-775-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3440 T159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0681927",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Smith, LPCC-S
• Kimberly A Smith, HIS
• Laura Smith, RD, LD
• Laura M. Boerner Smith, PH.D.
• Lauren Michelle Smith, LPN
• Mekhia Unique Smith
• Michelle Lynn Smith, CNP
• Natalie Marie Smith
• Nicole Marie Smith, DPM
• Priscilla Smith

• Optometrist in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.