DR. BOBBY DARRELL II SMITH (O.D.) – Optometrist, NPI 1023320504

DR. BOBBY DARRELL II SMITH (O.D.) is a healthcare provider. based in Mission viejo, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 13941 (CA). The NPI Number for DR. BOBBY DARRELL II SMITH (O.D.) is 1023320504

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. BOBBY DARRELL II SMITH (O.D.)
NPI
1023320504
Phone
(949) 364-4004
Address
30 The Shops At Mission Viejo
Enumeration Date
13 July 2010
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8059207021
Graduation Year
2007 (19 years ago)
PAC ID
1355586991
Group Practice PAC ID
3173434396
Professional Enrollment ID
I20260114002085
Address ID
CA930106064CA730XXCAMA300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

3,935 OPTOMETRY in CA

Provider Addresses for DR. BOBBY DARRELL II SMITH (O.D.)

  • 30 The Shops At Mission Viejo

    Mission Viejo, CA 926916527

    Phone: (949) 364-4004

    Fax: (949) 364-4001

    Type: Location

  • 30 THE SHOPS AT MISSION VIEJO

    MISSION VIEJO, CA 926916527

    Phone: (949) 364-4004

    Fax: (949) 364-4001

    Type: Location

  • 145 VIA MURCIA

    SAN CLEMENTE, CA 926723859

    Phone: (492) 902-2869

    Type: Mailing

  • 200 S WELLS RD STE 225

    VENTURA, CA 930041382

    Phone: (805) 659-0250

    Fax: (805) 659-9275

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $336.

Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($156).

Total Amount

$336

General + Research + Ownership

Payments

10

Total payment records

General Amount

$336

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-01-14

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250325002028IOptometryCATBD
I20260114002085IOptometryTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92691)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173434396View full group profile
NameSpecialtyState
O P T O M E T R YCA
Family Practice, Emergency MedicineCA
O P T O M E T R YCA
O P T O M E T R YCA
-CA
Physician AssistantCA
Physician AssistantCA
O P T O M E T R YCA
Physician AssistantCA
-CA

Reviews

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Frequently asked questions

Is DR. BOBBY DARRELL II SMITH (O.D.) listed with a National Provider Identifier?
Yes — DR. BOBBY DARRELL II SMITH (O.D.) has NPI 1023320504 on file in the registry.
Is DR. BOBBY DARRELL II SMITH (O.D.) still an active registrant?
DR. BOBBY DARRELL II SMITH (O.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. BOBBY DARRELL II SMITH (O.D.)?
At a glance, DR. BOBBY DARRELL II SMITH (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. BOBBY DARRELL II SMITH (O.D.) located near Mission Viejo?
DR. BOBBY DARRELL II SMITH (O.D.) currently maps to Mission Viejo, California in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.