Active NPI
Kelly A Smith, O.D.
- Optometrist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4065
- Practice address
- 2500 W 23Rd St
Panama City, FL 32405-2349 - Phone
- (850) 763-2020
- Fax
- (850) 784-3539
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-B14-TA-705 | AL | |
| Optometrist | 152W00000X | OPC4065 | FL | Primary |
Addresses
Primary practice location
2500 W 23Rd St
Panama City, FL 32405-2349
Mailing address
2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone (334) 793-2211
Other practice location 1
607 Boll Weevil Cir Ste C
Enterprise, AL 36330-2733
Phone (334) 347-6599
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240878 | Medicaid | AL | |
| 28556 | Other | FL | BLUE CROSS & BLUE SHIELD |
| P0030826 | Other | FL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone (334) 793-2211
4340 Lafayette St
Marianna, FL 32446-2916
Phone (850) 482-2336
607 Boll Weevil Cir
Suite C
Enterprise, AL 36330-2733
Phone (334) 793-2211
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.59 of 100
- Quality
- 87.13
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 65.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4065 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Partners PC | Current | Accepting new patients | |
| Eye Partners, PC | Optometrist | Current | Accepting new patients |
| Eye Partners PC | Optometrist | Current | Accepting new patients |
Locations
2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411
151 W Main St
Dothan, AL 36301
Phone (334) 793-2633
607 Boll Weevil Cir
#C
Enterprise, AL 36330
Phone (334) 347-6599
607 Boll Weevil Cir
Enterprise, AL 36330
4340 Lafayette St
Marianna, FL 32446
Phone (850) 482-2336
2500 W 23rd St
Panama City, FL 32405
Phone (850) 784-3921
2401 State Ave
Panama City, FL 32405
Phone (850) 747-1818
Interoperability endpoints
- kelly.smith.p1@direct.ecs.nextgenshare.com
Organizations & group practices 3
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.
-
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- Bainbridge, GA
- NPI 1629719299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1881619955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012040",
"telephone_number": "334-793-2211",
"fax_number": "334-793-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052349",
"telephone_number": "850-763-2020",
"fax_number": "850-784-3539"
}
],
"practiceLocations": [
{
"address_1": "607 Boll Weevil Cir Ste C",
"address_purpose": "LOCATION",
"city": "Enterprise",
"state": "AL",
"postal_code": "363302733",
"country_code": "US",
"telephone_number": "334-347-6599",
"fax_number": "334-417-0190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KELLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-B14-TA-705",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240878",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "28556",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P0030826",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.