Active NPI
Christopher Allen Smith, O.D.
- Optometrist
- El Dorado, KS
National Provider Identifier
1881850402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1826
- Practice address
- 2422 W Central Ave
Suite C
El Dorado, KS 67042-3239 - Phone
- (316) 452-5999
- Fax
- (316) 452-5624
- NPI assigned
- Aug 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 1826 | KS | Primary |
Addresses
Primary practice location
2422 W Central Ave
Suite C
El Dorado, KS 67042-3239
Mailing address
8501 W Candlewood St
Wichita, KS 67205-8617
Phone (316) 708-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200579470C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
670 E 47TH St S
Smith Vision Center
Wichita, KS 67216-1769
Phone (316) 613-3400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher a Smith OD PA | Optometrist | Current | Accepting new patients |
Locations
2422 W Central Ave
Ste C
El Dorado, KS 67042
Phone (316) 452-5999
670 E 47th St S
Wichita, KS 67216
Phone (316) 529-3905
Organizations & group practices 1
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.
-
- Optometrist
- El Dorado, KS
- NPI 1366730905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1881850402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8501 W CANDLEWOOD ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672058617",
"telephone_number": "316-708-9992",
"fax_number": "316-452-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 W CENTRAL AVE",
"address_2": "SUITE C",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670423239",
"telephone_number": "316-452-5999",
"fax_number": "316-452-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200579470C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.