Mandi Elkins Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

817 Issued in MS

Practice address

450 E Pass Rd
Gulfport, MS 39507-3212

Phone

(228) 896-8916

NPI assigned

Jul 26, 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

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Optometry

Education

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gulfport Precision Vision Inc

  • Optometrist
  • Gulfport, MS
  • NPI 1932861515
  Medicare reassignment NPD Authorized official
• Sunil Gupta MD LLC

  dba Retina Specialty Institute

  • Ophthalmology Physician
  • Pensacola, FL
  • NPI 1588610075
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1982918421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24826 MARE POINT DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395713344",
            "telephone_number": "601-757-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073212",
            "telephone_number": "228-896-8916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012965",
            "country_code": "US",
            "telephone_number": "228-864-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MANDI",
        "middle_name": "ELKINS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua De'Von Smith, MA, DPC, LPC
• Joyce Smith, PCCSS
• Kelly A Smith, IDC
• Lisa Mabry Smith, MD
• Maggie Elizabeth Smith, DPT
• Mary-Ouida Smith, DMD
• Shelly Smith, RBT
• Tyangala Bracey Smith
• Victoria Roberts Smith
• Anne Hancock Smits, PA-C

• Optometrist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.

Verify at the official NPI Registry.