Organization
KEVIN SMITH OD AND ASSOCIATES INC
Active
Other names
SOUTH TAMPA EYE SITE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L SMITH OD (OPTOMETRIST)
(813) 312-1174
Entity
Organization
Contact information
Practice address
4117 HENDERSON BLVD, TAMPA, FL 33629-5749
(813) 207-8984
(813) 207-8954
Mailing address
4117 HENDERSON BLVD, TAMPA, FL 33629-5749
(813) 207-8984
(813) 207-8954
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC3456
FL
332H00000X
Eyewear Supplier
OPC 3456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11221087
CAQH
FL
05
—
620814201
—
FL
Enumeration date
07/25/2007
Last updated
11/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us