DR. KEVIN L. SMITH (NPI# 1518945179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518945179 |
| Entity Type | Individual |
| Full Name | DR. KEVIN L. SMITH |
| Credential | O.D. |
| Practice Address |
4117 Henderson Blvd Tampa FL 33629 |
| Mailing Address |
4117 Henderson Blvd Tampa FL 33629-5749 |
| Practice Telephone | 8132078984 |
| Practice Fax Number | 8132078954 |
| Mailing Telephone | 8132078984 |
| Mailing Fax Number | 8132078954 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3456 | FL | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPC3456 | FL | Eye and Vision Services Providers |
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | OPC3456 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 620814201 | 05 | |
| FL | GROUP MEDICARE PTAN | AJ611 | 01 |
| FL | CAQH | 11221087 | 01 |
| FL | IRS | 582528891 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5488 Land O Lakes Blvd, Land O Lakes, FL 346393413 | 8138034515 | 8138034513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394310 | Kevin Lee Smith | Technician | 97 Culp Dr, Ridgeley, WV 26753-7407 | 2020-07-29 |
| 1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| 1992362875 | Kevin Gene Smith | Social Worker | 1293 Page Rd, Raleigh, NC 27603-7334 | 2019-05-25 |
| 1700314952 | Kevin Matthew Smith | Pediatrics | 715 Camino Catalina, Solana Beach, CA 92075-1631 | 2017-06-01 |
| 1124565759 | Kevin Smith | Driver | 530 Yates Ave, Calumet City, IL 60409-3119 | 2017-01-20 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| 1679929806 | Kevin Smith | Durable Medical Equipment & Medical Supplies | 76 Birchmount Cir, West Henrietta, NY 14586-9452 | 2016-05-06 |
| 1871998716 | Kevin Michael Smith | Physical Therapist | 15 Corporate Plaza Dr Ste 130, Newport Beach, CA 92660-7940 | 2014-11-04 |
| 1144646993 | Kevin Smith | Occupational Therapist | 322 Pillings Pond Rd, Lynnfield, MA 01940-1345 | 2014-03-17 |
| Street Address |
4117 HENDERSON BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023275468 | Kevin Smith Od and Associates Inc | Optometrist | 4117 Henderson Blvd, Tampa, FL 33629-5749 | 2008-05-22 |
| 1487844536 | Kevin Smith Od and Associates Inc | Eyewear Supplier (Equipment, not the service) | 4117 Henderson Blvd, Tampa, FL 33629-5749 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| 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 |
|---|---|---|---|---|
| 1396357240 | Myeyedr Optometry of Florida, LLC | Optometrist | 1108c S Dale Mabry Hwy, Tampa, FL 33629-5007 | 2020-08-21 |
| 1114539749 | National Vision Inc | Optometrist | 13620 University Plaza St, Tampa, FL 33613-4649 | 2020-08-17 |
| 1043821523 | Corinne Speight | Optometrist | 3201 S Dale Mabry Hwy Ste 105, Tampa, FL 33629-7800 | 2020-08-10 |
| 1922623461 | Joseph Gennaro Suriano | Optometrist | 5709 Johns Rd Ste 1209, Tampa, FL 33634-4315 | 2020-06-10 |
| 1760006449 | Chelsea Casaccia | Optometrist | 4407 W Vasconia St, Tampa, FL 33629-8325 | 2020-05-29 |
| 1124515705 | B&b Florida Eye Care Pllc | Optometrist | 8504 Citrus Park Dr, Tampa, FL 33625-3003 | 2018-04-18 |
| 1053808097 | Marianne Banales | Optometrist | 3030 N Rocky Point Dr W Ste 170, Tampa, FL 33607-7201 | 2018-04-16 |
| 1164935474 | Elevate Your Existence, LLC | Optometrist | 8150 Citrus Park Town Center Mall Spc 1100, Tampa, FL 33625-3181 | 2017-11-08 |
| 1952812497 | Newsom Eye & Laser Center, Inc. | Optometrist | 113 S Armenia Ave, Tampa, FL 33609-3307 | 2017-10-23 |
| 1235528134 | Matthew D. Helsing O.d., P.a. | Optometrist | 1108 S Dale Mabry Hwy, Suite C, Tampa, FL 33629-5007 | 2015-01-15 |
| Find all providers in TAMPA | ||||
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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.