NPIMap

Organization Active NPI

Gary L Smith OD PC

  • Optometrist
  • Rome, GA
National Provider Identifier
1942550256
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT000687 Issued in GA
Legal business name
GARY L SMITH OD PC
Practice address
1013 N 5TH Ave NE Ste 4
Rome, GA 30165-2664
Phone
(706) 232-6767
Fax
(706) 291-4677
NPI assigned
Sep 13, 2012
Last updated
Oct 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Dr. Gary L Smith, OD, PCNPI 1720128572
Title
Owner
Phone
(706) 232-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT000687 GA Primary

Addresses

Primary practice location

1013 N 5TH Ave NE Ste 4
Rome, GA 30165-2664

Mailing address

1013 N 5TH Ave NE Ste 4
Rome, GA 30165-2664
Phone (706) 232-6767

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1942550256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE STE 4",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "706-232-6767",
            "fax_number": "706-291-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE STE 4",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "706-232-6767",
            "fax_number": "706-291-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L SMITH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-232-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, PC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.