Individual provider Active NPI

Christopher Allen Smith, O.D.

  • Optometrist
  • El Dorado, KS
National Provider Identifier
1881850402
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1826 Issued in KS
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

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200579470CMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000572 KS Practitioner - Optometry 7911059142 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Christopher a Smith OD PA Optometrist CurrentSince Aug 1, 2011 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.

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

Verify at the official NPI Registry.