DR. WILLIAM DOUGLAS SMITH (O.D.) – Optometrist, NPI 1538401476

DR. WILLIAM DOUGLAS SMITH (O.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC5458 (FL). The NPI Number for DR. WILLIAM DOUGLAS SMITH (O.D.) is 1538401476

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM DOUGLAS SMITH (O.D.)
NPI
1538401476
Phone
(904) 356-7101
Address
806 RIVERSIDE AVE
Enumeration Date
18 March 2013
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042809000
Graduation Year
2013 (13 years ago)
PAC ID
7012135387
Group Practice PAC ID
7719031434
Professional Enrollment ID
I20171204002513
Address ID
FL320826626PO120XXA1AX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:13State licenses:3Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. WILLIAM DOUGLAS SMITH (O.D.)

  • 806 RIVERSIDE AVE

    JACKSONVILLE, FL 322043300

    Phone: (904) 356-7101

    Type: Location

  • 120 A1A N STE 101

    PONTE VEDRA BEACH, FL 320826626

    Phone: (904) 280-9000

    Type: Mailing

  • 1536 N Jefferson St

    Dept of Veterans Affiars - EyeCare

    Jacksonville, FL 32209

    Phone: (904) 475-6310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $12,710.

Total Amount is formed as General ($12,710) + Research ($0) + Ownership ($0) = $12,710.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: CooperVision Inc. ($12,025).

Total Amount

$12,710

General + Research + Ownership

Payments

66

Total payment records

General Amount

$12,710

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2017-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20171204002513IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14172$0
92014Established patient complete exam of visual system9393$0
92004New patient complete exam of visual system3232$0
92133Imaging of optic nerve3030$0
92134Imaging of retina2928$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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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: 7719031434View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
-FL

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Frequently asked questions

What is the standard ID for DR. WILLIAM DOUGLAS SMITH (O.D.) in the U.S.?
In the U.S., DR. WILLIAM DOUGLAS SMITH (O.D.) is identified by NPI 1538401476.
Quick check: is DR. WILLIAM DOUGLAS SMITH (O.D.) active?
Public NPPES data shows DR. WILLIAM DOUGLAS SMITH (O.D.) with an active NPI status right now.
How should patients interpret DR. WILLIAM DOUGLAS SMITH (O.D.)'s specialty?
The extract shows Optometrist for DR. WILLIAM DOUGLAS SMITH (O.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. WILLIAM DOUGLAS SMITH (O.D.) in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for DR. WILLIAM DOUGLAS SMITH (O.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.