Organization Active NPI

Dr Scott Smith LLC

  • Optometrist
  • Aliquippa, PA
National Provider Identifier
1881643146
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001092 Issued in PA
Legal business name
DR SCOTT SMITH LLC
Practice address
2116 Sheffield Rd
Aliquippa, PA 15001-2732
Phone
(724) 378-2880
Fax
(724) 378-0450
NPI assigned
May 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Scott Galen SmithNPI 1396795449
Title
Sole Member
Phone
(724) 378-2880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG001092 PA Primary

Addresses

Primary practice location

2116 Sheffield Rd
Aliquippa, PA 15001-2732

Mailing address

2116 Sheffield Rd
Aliquippa, PA 15001-2732
Phone (724) 378-2880

Other identifiers 1

IdentifierTypeStateIssuer
0012771190004MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180417000855 PA Part B Supplier - Clinic/Group Practice 0446513881 Receives reassigned benefits from 1 practitioner
Practice locations: Aliquippa, PA

National Provider Directory

National Provider Directory

Locations

2116 Sheffield Rd
Aliquippa, PA 15001
Phone (412) 378-2880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1881643146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 SHEFFIELD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012732",
            "telephone_number": "724-378-2880",
            "fax_number": "724-378-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 SHEFFIELD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012732",
            "telephone_number": "724-378-2880",
            "fax_number": "724-378-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SCOTT SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GALEN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "724-378-2880"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012771190004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.