KORA L SMITH (OD) – Optometrist, NPI 1063908929

KORA L SMITH (OD) is a healthcare provider. based in Wabash, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004115 (IN). The NPI Number for KORA L SMITH (OD) is 1063908929

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KORA L SMITH (OD)
NPI
1063908929
Phone
(260) 569-9550
Address
PO BOX 549
Enumeration Date
3 July 2018
Last Update Date
4 February 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2193628923
Graduation Year
2018 (8 years ago)
PAC ID
7012263684
Group Practice PAC ID
2961399217
Professional Enrollment ID
I20180712000561
Address ID
IN463504734LA301XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Loading map...

Provider Addresses for KORA L SMITH (OD)

  • PO BOX 549

    WABASH, IN 469920549

    Phone: (260) 569-9550

    Fax: (260) 569-0760

    Type: Mailing

  • South Emerson Avenue, Indianapolis, Indiana, 46237, United States

    INDIANAPOLIS, IN 462371969

    Phone: (317) 783-8700

    Fax: (317) 783-5987

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,026.

Total Amount is formed as General ($1,026) + Research ($0) + Ownership ($0) = $1,026.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($341).

Total Amount

$1,026

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,026

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

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: 2018-07-12

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
I20180712000561IOptometryINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes242137$0
92014Established patient complete exam of visual system208157$0
99213Established patient office or other outpatient visit, 20-29 minutes171130$0
92250Photography of the retina164163$0
92083Exam of visual field with extended testing123105$0
View full utilization report →

Insurance plans in this area (ZIP 46992)

Loading plans...

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: 2961399217View full group profile

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.

Frequently asked questions

What number should I use to identify KORA L SMITH (OD) for billing?
Administrative and clinical systems typically use NPI 1063908929 for KORA L SMITH (OD).
Should I treat KORA L SMITH (OD) as an active provider?
Patients and plans typically see KORA L SMITH (OD) as active in the national extract.
What type of care does KORA L SMITH (OD) provide?
KORA L SMITH (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to KORA L SMITH (OD)?
KORA L SMITH (OD) shows a connection to Wabash, Indiana in registry-derived data.
Why is information missing for KORA L SMITH (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

Cameron Woods Drive, Angola, Steuben County, Indiana, 46703, United States of America
NPI: 1073516753
PO BOX 549
NPI: 1396748703
Edwardsburg Highway, Granger, Saint Joseph County, Indiana, 46530, United States
NPI: 1336146497
PO BOX 549
NPI: 1639177165
Midwest Eye Consultants, 220, North Ironwood Drive, South Bend, Saint Joseph County, Indiana, 46635, United States
NPI: 1790787414
13th Street, Decatur, Burt County, Nebraska, 68020, United States
NPI: 1902893571
Cameron Woods Drive, Angola, Steuben County, Indiana, 46703, United States
NPI: 1225025125

DR. BRADLEY A FARLOW (O.D.)

Corneal and Contact Management Optometrist
PO BOX 647
NPI: 1821077124
PO BOX 549
NPI: 1093784373