David Raymond Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2007019153 Issued in MO

Practice address

8685 Olive Boulevard
University City, MO 63132-6313

Phone

(314) 219-5461

Fax

(314) 219-5464

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Comprehensive Eye Care and Surgery Inc.

  • Ophthalmology Physician
  • Bridgeton, MO
  • NPI 1417065129
  NPD (past)
• Horizon Behavioral Health LLC

  • Psychiatry Physician
  • Bridgeton, MO
  • NPI 1033181037
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1942408869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8685 OLIVE BOULEVARD",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631321205",
            "telephone_number": "314-219-5461",
            "fax_number": "314-219-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 OLIVE BOULEVARD",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631326313",
            "telephone_number": "314-219-5461",
            "fax_number": "314-219-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Costco Way",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633764385",
            "country_code": "US",
            "telephone_number": "636-970-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2007019153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942408869",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Schwartz, OTR/L
• Peggy Ann Schwartz, LCSW, ATR-BC
• Seek and Find, LLC
• Mark Steven Siegel, PH.D., MFT
• David S Sissac
• Molly Smith, ATC
• Victoria Spain, BCBA
• Edmund Sprunger, MSW
• Stacey's Heart Health Services, LLC
• Stephen J Costantino Chiropractic, PC (Delmar Chiropractic)

• Optometrist in University City, MO
• Providers in University City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.