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KEVIN SMITH OD AND ASSOCIATES INC NPI 1487844536


NPI Information

NPI: 1487844536
Provider Name: KEVIN SMITH OD AND ASSOCIATES INC

Doing Business As: SOUTH TAMPA EYE SITE

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
4117 HENDERSON BLVD
TAMPA, FL
ZIP 33629
Phone: (813) 207-8984
Get Directions

KEVIN SMITH OD AND ASSOCIATES INC is a corneal and contact management optometrist in Tampa, FL. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. KEVIN SMITH OD AND ASSOCIATES INC NPI is 1487844536. The provider is registered as an organization entity type.
The provider Is Doing Business As South Tampa Eye Site.

The provider's business location address is:

4117 HENDERSON BLVD
TAMPA, FL
ZIP 33629-749
Phone: (813) 207-8984
Fax: (813) 207-8954

The provider's authorized official is Kevin L Smith .
The authorized official title is Optometrist and has the following contact phone number (813) 312-1174.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 11/4/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierOPC 3456FLORIDANo
2152WC0802XOptometristCorneal and Contact ManagementOPC3456FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111221087OTHERFLORIDACAQH
2620814201MEDICAIDFLORIDA
35929060001MEDICARE NSC
4AJ611MEDICARE PINFLORIDA
5U93390MEDICARE UPINFLORIDA

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: 11/14/2023

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