Kristen A Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2010020770 Issued in MO

Practice address

2493 Saint Louis Galleria
Saint Louis, MO 63117-1113

Phone

(314) 862-1525

Fax

(314) 863-6218

NPI assigned

Jul 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen A Schumer Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Practice roles

Locations

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.

• Antoine Eye Care, LLC

  • Optometrist
  • Saint Louis, MO
  • NPI 1881772937
  Medicare reassignment NPD

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1881906600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 SAINT LOUIS GALLERIA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171113",
            "telephone_number": "314-862-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2493 SAINT LOUIS GALLERIA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171113",
            "telephone_number": "314-862-1525",
            "fax_number": "314-863-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2010020770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SCHUMER",
            "middle_name": "A",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katina D Smith, NP-C
• Kenneth Gerald Smith, M.D.
• Kenneth Sanders Smith Jr., M.D.
• Keyanna Smith
• Kimberly Dawn Smith
• Kristin Colleen Smith, MD
• Kyle D Smith, D.C.
• Kylie Nichole Smith, MSW, LCSW
• Lara Gubbins Smith, RN, CPNP
• Latrece Smith, MSW LCSW

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.