DR. ELVEN CONRAD SMITH III (NPI# 1215974548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215974548 |
Entity Type | Individual |
Full Name | DR. ELVEN CONRAD SMITH III |
Credential | O.D. |
Practice Address |
720 E Us Highway 74 Ste A Rockingham NC 28379-7524 |
Mailing Address |
1502 E Broad Ave Ste A Rockingham NC 28379-4908 |
Practice Telephone | 9102052020 |
Practice Fax Number | 9105822030 |
Mailing Telephone | 9109977737 |
Mailing Fax Number | 9109977058 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2011-12-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1182 | SC | Eye and Vision Services Providers |
Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1267 | NC | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8909835 | 05 | |
NC | LICENSE # | 1267 | 01 |
SC | LICENSE # | 1182 | 01 |
Street Address |
720 E US HIGHWAY 74 STE A |
City | ROCKINGHAM |
State | NC |
Zip Code | 28379-7524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790145423 | Smith Optometric Pllc | Optometrist | 720 E Us Highway 74, Suite A, Rockingham, NC 28379-7206 | 2016-02-23 |
1831560457 | Frances Mcdonald Talbert | Pharmacist | 720 E Us Highway 74, Rockingham, NC 28379-7206 | 2015-10-08 |
1902215551 | Elven C Smith IIi | Optometrist | 720 E Us Highway 74, Suite A, Rockingham, NC 28379-7206 | 2014-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
Find all providers in zip 28379 |
Taxonomy Code | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790145423 | Smith Optometric Pllc | Optometrist | 720 E Us Highway 74, Suite A, Rockingham, NC 28379-7206 | 2016-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871542159 | Elana Scheiner | Optometrist | 113 Salem Towne Court, Apex, NC 27502 | 2006-05-06 |
1922007368 | Eric E Schmidt | Optometrist | 409 E Broad St, Elizabethtown, NC 28337-8807 | 2005-07-19 |
1619422532 | Marian Edmunds | Optometrist | 704 Louise Ave, Charlotte, NC 28204-2128 | 2016-08-21 |
1114988862 | Gary Lee Mancil | Optometrist | 1601 Brenner Ave, Hefner Va Medical Center (11-i), Salisbury, NC 28144-2515 | 2006-03-31 |
City | ROCKINGHAM |
Zip Code | 28379 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.