DR. KELLY A SMITH (O.D.) – Optometrist, NPI 1881619955
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
619 OPTOMETRY in AL
Provider Addresses for DR. KELLY A SMITH (O.D.)
607 Boll Weevil Cir Ste C
Enterprise, AL 363302733
Phone: (334) 347-6599
Fax: (334) 417-0190
Type: Location
607 BOLL WEEVIL CIR STE C
ENTERPRISE, AL 363302733
Phone: (334) 347-6599
Fax: (334) 417-0190
Type: Location
2800 ROSS CLARK CIR
DOTHAN, AL 363012040
Phone: (334) 793-2211
Fax: (334) 793-7161
Type: Mailing
2500 W 23RD ST
PANAMA CITY, FL 324052349
Phone: (850) 763-2020
Fax: (850) 784-3539
Type: Location
151, West Main Street, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 363011625
Phone: (334) 793-2633
Fax: (334) 794-1626
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($95).
Total Amount
$168
General + Research + Ownership
Payments
9
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051013000393 | I | Optometry | FL | TBD |
| I20190612004027 | I | Optometry | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 345 | 273 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 327 | 265 | $0 |
| 92250 | Photography of the retina | 188 | 178 | $0 |
| 92133 | Imaging of optic nerve | 102 | 80 | $0 |
| 92134 | Imaging of retina | 39 | 36 | $0 |
Insurance plans in this area (ZIP 36330)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | KY | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | AL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.