STEPHEN DAMON SMITH O.D., NPI 1114929460
Optometrist in LOUISVILLE, KY
Last Updated on : Nov 19,2007
About STEPHEN DAMON SMITH (NPI 1114929460)
STEPHEN DAMON SMITH is an Optometrist provider in LOUISVILLE, United States. His medical specialization is Optometrist .
1114929460 is NPI number of STEPHEN DAMON SMITH.
STEPHEN DAMON SMITH's primary taxonomy code based on NPI Lookup is 152W00000X with license number 1445 DT. This taxonomy code refers to Optometrist.
STEPHEN DAMON SMITH has more than 17 years of experience.
STEPHEN DAMON SMITH current practice location address is 140 W MARKET ST, LOUISVILLE, KY. STEPHEN DAMON SMITH can be reached out via phone at 502-587-8696 and via fax at 502-587-8165 .
You can also correspond with STEPHEN DAMON SMITH through mail at mailing address 140 W MARKET ST, LOUISVILLE, KY, United States. Mailing address contact number is 502-587-8696.
The enumeration date of STEPHEN DAMON SMITH is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1114929460 NPI Information
Basic NPI information of STEPHEN DAMON SMITH (NPI 1114929460) is provided below.
| Name | STEPHEN DAMON SMITH |
|---|---|
| National Provider Id (NPI) | 1114929460 |
| Entity Type | Individual |
| Gender | M |
| Credential | O.D. |
| Practice Address | 140 W MARKET ST,
LOUISVILLE, KY, United States |
| Practice Telephone | 502-587-8696 |
| Practice Fax Number | 502-587-8165 |
| Mailing Address | 140 W MARKET ST ,
LOUISVILLE, KY, United States |
| Mailing Telephone | 502-587-8696 |
| Mailing Fax Number | 502-587-8165 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 19-Nov-2007 |
STEPHEN DAMON SMITH (NPI 1114929460) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1445 DT | KY |
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.
STEPHEN DAMON SMITH (NPI 1114929460) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 18002709 | IN |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000198612 | Other (non-Medicare) (01) | KY | Anthem provider |
| 11221323 | Other (non-Medicare) (01) | KY | CAQH |
| 1445DT | Other (non-Medicare) (01) | KY | KY Optometry License |
| 18002709 | Other (non-Medicare) (01) | IN | IN Optometry License |
| 1889601 | MEDICARE PIN (08) | KY | |
| 21434 | Other (non-Medicare) (01) | KY | CVC provider |
| 77340503 | MEDICAID (05) | KY | |
| 918468 | Other (non-Medicare) (01) | KY | block provider |
| MS 0164739 | Other (non-Medicare) (01) | KY | DEA |
| U58935 | MEDICARE UPIN (02) | KY |
STEPHEN DAMON SMITH (NPI 1114929460) Office Location
Office location of STEPHEN DAMON SMITH is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1851857122 | APRIL POE | Nurse Practitioner, Family | 130 N RANDOLPH AVE STE B,
EUFAULA, AL, United States |
12-Feb-2019 |
| 1538190624 | ATTENTUS EUFAULA, LLC | Clinic/Center, Rural Health | 31 RAILROAD ST,
LOUISVILLE, AL, United States |
06-Jul-2006 |
| 1801029822 | SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY | Clinic/Center, Primary Care | 31 RAILROAD STREET,
LOUISVILLE, AL, United States |
25-Aug-2009 |
| 1477102390 | PAMELA GRACE BAKER | Nurse Practitioner, Family | 31 RAILROAD ST,
LOUISVILLE, AL, United States |
04-Sep-2019 |
| 1215405337 | BRITTANY FORBES | Behavior Technician | 114 BLUE SPRINGS RD,
LOUISVILLE, AL, United States |
06-Nov-2018 |
| 1134632045 | THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA | Clinic/Center, Rural Health | 820 W WASHINGTON ST,
EUFAULA, AL, United States |
14-Nov-2017 |
| 1811192586 | JOHNA GAYLE COTTON | Nurse Practitioner, Pediatrics | 31 RAILROAD ST,
LOUISVILLE, AL, United States |
20-Jun-2007 |
| 1932769106 | QUEST COUNSELING AGENCY, LLC | Counselor, Mental Health | 76 VICTORIA ST,
LOUISVILLE, AL, United States |
19-Jun-2019 |
| 1487730412 | LOUISVILLE FIRE AND RESCUE | Emergency Medical Technician, Basic | 1951 MAIN STR.,
LOUISVILLE, AL, United States |
31-Oct-2006 |
| 1760100804 | SOUTHEAST ALABAMA YOUTH SERVICES, INC | Counselor, Professional | 2856 HORACE SHEPARD DR,
DOTHAN, AL, United States |
15-Aug-2022 |
| 1720476401 | JENNIFER HALL | Social Worker, Clinical | 303 LAFAYETTE ST,
LOUISVILLE, CO, United States |
02-Jan-2015 |
| 1043784143 | KELLY LOVELY | Physical Therapist | 80 HEALTH PARK DR STE 200,
LOUISVILLE, CO, United States |
11-Jan-2019 |
| 1760460216 | KAREN L STASIAK | Nurse Practitioner, Neonatal | 100 HEALTH PARK DR,
LOUISVILLE, CO, United States |
05-Jan-2006 |
| 1891268462 | KAITLIN QUINN | Physical Therapist | 315 W SOUTH BOULDER RD STE 100,
LOUISVILLE, CO, United States |
07-Jan-2019 |
| 1881051035 | ELIZABETH M KILMER-STERLING | Advanced Practice Midwife | 2742 STORM MOUNTAIN DRIVE,
PO BOX 68 DRAKE, CO, United States |
19-Jan-2016 |
| 1053828350 | LAUREN NUNN | Dental Hygienist | 877 E SOUTH BOULDER RD,
LOUISVILLE, CO, United States |
08-Jan-2018 |
| 1659844124 | VIRGINIA ARNETTE | Physical Therapist | 275 CENTURY CIR STE 103,
LOUISVILLE, CO, United States |
08-Jan-2019 |
| 1295208692 | LAUREN BROWN | Behavior Technician | PO BOX 271690,
LOUISVILLE, CO, United States |
08-Jan-2019 |
| 1144379645 | JENNY HARRISON | Physical Therapist, Pediatrics | 385 LILAC CIR,
LOUISVILLE, CO, United States |
10-Jan-2007 |
| 1225308141 | MARISSA ANN BENJAMIN | Physician Assistant | 11990 GRANT ST,
NORTHGLENN, CO, United States |
09-Jan-2012 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1114929460?1114929460 is the NPI number of STEPHEN DAMON SMITH.
What is the specialty for STEPHEN DAMON SMITH?The Specialty of STEPHEN DAMON SMITH is Optometrist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|