DR. CLAYTON A SMITH (OD) – Optometrist, NPI 1700886058

DR. CLAYTON A SMITH (OD) is a healthcare provider. based in Eastman, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1213 (GA). The NPI Number for DR. CLAYTON A SMITH (OD) is 1700886058

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLAYTON A SMITH (OD)
NPI
1700886058
Phone
(478) 374-0762
Address
820 PROFESSIONAL CENTER DR
Enumeration Date
28 July 2005
Deactivation Date
22 March 2006
Reactivation Date
31 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789940994
Graduation Year
1988 (38 years ago)
PAC ID
2163317660
Group Practice PAC ID
5294620787
Professional Enrollment ID
I20040219000012
Address ID
GA310293385FO134XXDRXX601
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

958 OPTOMETRY in GA

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Provider Addresses for DR. CLAYTON A SMITH (OD)

  • 820, Professional Center Drive, Eastman, Dodge County, Georgia, 31023, United States

    EASTMAN, GA 310236734

    Phone: (478) 374-0762

    Type: Location

  • PO BOX 8747

    WARNER ROBINS, GA 310958747

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-19

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
I20040219000012IOptometryGATBD

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 system4040$0
92004New patient complete exam of visual system2121$0
92012Established patient problem focused exam of visual system1717$0
View full utilization report →

Insurance plans in this area (ZIP 31023)

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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: 5294620787View full group profile
NameSpecialtyState
O P T O M E T R YGA

Reviews

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Frequently asked questions

Is DR. CLAYTON A SMITH (OD) listed with a National Provider Identifier?
Yes — DR. CLAYTON A SMITH (OD) has NPI 1700886058 on file in the registry.
Is there an active status for DR. CLAYTON A SMITH (OD)?
For scheduling context, DR. CLAYTON A SMITH (OD) is shown as active in the registry.
What clinical focus is listed for DR. CLAYTON A SMITH (OD)?
At a glance, DR. CLAYTON A SMITH (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. CLAYTON A SMITH (OD) located near Eastman?
DR. CLAYTON A SMITH (OD) currently maps to Eastman, Georgia in this extract.
Can I trust this NPI listing for DR. CLAYTON A SMITH (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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