MARY LOU SMITH (OD) – Optometrist, NPI 1558369108

MARY LOU SMITH (OD) is a healthcare provider. based in Largo, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC2593 (FL). The NPI Number for MARY LOU SMITH (OD) is 1558369108

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
MARY LOU SMITH (OD)
NPI
1558369108
Phone
(727) 581-8706
Address
148 13TH ST SW
Enumeration Date
8 July 2005
Last Update Date
14 October 2019

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7275818706
Graduation Year
1991 (35 years ago)
PAC ID
8921122979
Group Practice PAC ID
5092629071
Professional Enrollment ID
I20100828000018
Address ID
FL337703127LA148XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for MARY LOU SMITH (OD)

  • 148, 13th Street Southwest, Largo, Pinellas County, Florida, 33770, United States

    LARGO, FL 337703127

    Phone: (727) 581-8706

    Fax: (727) 586-3743

    Type: Location

  • PO BOX 2410

    LARGO, FL 337792410

    Phone: (727) 581-8706

    Fax: (727) 586-3743

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $691.

Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($180).

Total Amount

$691

General + Research + Ownership

Payments

30

Total payment records

General Amount

$691

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2010-08-28

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
I20100828000018IOptometryFLTBD

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
92014Established patient complete exam of visual system348338$0
92012Established patient problem focused exam of visual system201176$0
92134Imaging of retina8584$0
92004New patient complete exam of visual system7373$0
92133Imaging of optic nerve2018$0
View full utilization report →

Insurance plans in this area (ZIP 33770)

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Provider's Procedures

MARY LOU SMITH (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92134Diagnostic imaging of retina7371
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient150137

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: 5092629071View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
-FL
-FL
O P H T H A L M O L O G YWA
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
Physician AssistantFL

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Frequently asked questions

What NPI should I save for MARY LOU SMITH (OD)?
Save NPI 1558369108 if you need a stable reference for MARY LOU SMITH (OD).
Is MARY LOU SMITH (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARY LOU SMITH (OD) list a primary specialty?
If you are matching referrals, note Optometrist for MARY LOU SMITH (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY LOU SMITH (OD)?
The page summarizes Largo, Florida for MARY LOU SMITH (OD); expand the address list for detail.
What if Largo, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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