DR. STEPHEN DAMON SMITH O.D. NPI 1114929460

NPI Information

  • NPI: 1114929460
  • Provider Name: DR. STEPHEN DAMON SMITH, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 140 W MARKET ST
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 587-8696

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NPI Details

DR. Stephen Damon Smith, O.D. is an optometrist in Louisville, KY. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Stephen Damon Smith, O.D. NPI is 1114929460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

140 W MARKET ST
LOUISVILLE, KY
ZIP 40202-332
Phone: (502) 587-8696
Fax: (502) 587-8165

The NPI 1114929460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/1/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist18002709INDIANANo
2152W00000XOptometrist1445 DTKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000198612OTHERKENTUCKYANTHEM PROVIDER
2918468OTHERKENTUCKYBLOCK PROVIDER
31445DTOTHERKENTUCKYKY OPTOMETRY LICENSE
477340503MEDICAIDKENTUCKY
518002709OTHERINDIANAIN OPTOMETRY LICENSE
621434OTHERKENTUCKYCVC PROVIDER
711221323OTHERKENTUCKYCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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