DR. MARK W. SMITH (NPI# 1417943598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417943598 |
Entity Type | Individual |
Full Name | DR. MARK W. SMITH |
Credential | O.D. |
Practice Address |
620 10th Street N. St Petersburg FL 33705-1407 |
Mailing Address |
Po Box 12868 St Petersburg FL 33733-2868 |
Practice Telephone | 7278247134 |
Practice Fax Number | 7278248329 |
Mailing Telephone | 7275321355 |
Mailing Fax Number | 7272664928 |
Enumeration Date | 2005-09-23 |
Last Update Date | 2016-02-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC2260 | FL | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871025668 | Mark Robert Smith | Physical Therapist | 11448 Princessa Ln, Jacksonville, FL 32218-4054 | 2017-03-30 |
1982148565 | Mark Smith Jr. | Pharmacist | 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 | 2016-12-15 |
1396124558 | Mark Andrew Smith | Physical Therapist | 125 S Mcdaniel Dr, Auburn, CA 95603-5742 | 2015-05-21 |
1760875181 | Mark Smith | Case Manager/Care Coordinator | 4028 Knollton Rd, Indianapolis, IN 46228-3332 | 2015-03-09 |
1366833154 | Mark James Smith | Pharmacist | 2627 Oneida St, Utica, NY 13501-6332 | 2015-02-15 |
1568869824 | Mark Smith | Occupational Therapy Assistant | 1160 Old State Rd, New Castle, PA 16101-6417 | 2014-12-01 |
1992128581 | Mark Harrison Smith | Case Manager/Care Coordinator | 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 | 2014-02-03 |
1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
1053628271 | Mark Thomas Smith | Optometrist | 592 Main St N, Mc Kenzie, TN 38201-1707 | 2010-09-09 |
Street Address |
620 10TH STREET N. |
City | ST PETERSBURG |
State | FL |
Zip Code | 33705-1407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659363836 | Raquelle Alexander | Allergy & Immunology | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-08-16 |
1033474184 | Lataura Atwell-small | Family Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2012-07-05 |
1639478589 | Sc Physicians LLC | Durable Medical Equipment & Medical Supplies | 620 10th Street N., St Petersburg, FL 33705-1407 | 2011-03-17 |
1245466093 | Timi Donn Maloney | Family Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2009-06-08 |
1194986281 | Amy Bolton Koenig Strickland | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2008-06-20 |
1255536702 | Vicki Marie Connell | Audiologist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2007-06-15 |
1083759849 | Roger Covey | Physical Therapist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2007-02-20 |
1528153392 | Richard F. Blanchard | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-10-04 |
1982683678 | Mihaela Soran | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-01-11 |
1881680973 | Robert E. Thacker | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
Find all providers in zip 33705 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265908578 | Vip Eye Care Optical Boutique At Carillon LLC | Optometrist | 12425 28th St N Ste 103, St Petersburg, FL 33716-1826 | 2018-10-15 |
1215358833 | Eye Doctors Optical Outlets Pa | Optometrist | 6927 4th St N, St Petersburg, FL 33702-6846 | 2013-12-27 |
1669604518 | Kinga Hanna Jakubowski | Optometrist | 2109 66th St N, St Petersburg, FL 33710-4711 | 2009-08-11 |
1023245040 | Shepard A. Adler, O.d.p.a. | Optometrist | 1115 62nd Ave N Ste A, St Petersburg, FL 33702-7400 | 2009-06-17 |
1255588877 | Christine Ann Manzella | Optometrist | 3520 4th St N, St Petersburg, FL 33704-1310 | 2008-08-26 |
1790976785 | Eye Doctors Optical Outlets Pa | Optometrist | 710 34th St N, St Petersburg, FL 33713-6538 | 2007-08-06 |
1225235575 | Gretta Claire Homsi | Optometrist | 10474 Roosevelt Blvd N, St Petersburg, FL 33716-3820 | 2007-06-29 |
1952425811 | Bryan Robert Wexler | Optometrist | 6951 Tyrone Sq, St Petersburg, FL 33710-3936 | 2007-03-18 |
1548384522 | Thomas K Flanagan Od and Associates Pa | Optometrist | 3322 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1212 | 2007-03-16 |
1902939010 | Richard E Sorkin | Optometrist | 5100 Central Ave, St Petersburg, FL 33707-1833 | 2007-03-14 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33705 |
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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.