DR. WILLIE DARRELL SMITH (O.D.) – Optometrist, NPI 1437286713

DR. WILLIE DARRELL SMITH (O.D.) is a healthcare provider. based in Adrian, Michigan. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 490100002985 (MI). The NPI Number for DR. WILLIE DARRELL SMITH (O.D.) is 1437286713

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIE DARRELL SMITH (O.D.)
NPI
1437286713
Phone
(517) 263-0424
Address
1357 S MAIN ST
Enumeration Date
27 February 2007
Last Update Date
5 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5178497020
Graduation Year
1984 (42 years ago)
PAC ID
4880765080
Group Practice PAC ID
3375565633
Professional Enrollment ID
I20080616000554
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. WILLIE DARRELL SMITH (O.D.)

  • 1357 S MAIN ST

    ADRIAN, MI 492214352

    Phone: (517) 263-0424

    Fax: (517) 263-6379

    Mailing address matches the actual address.

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: 2008-06-16

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
I20080616000554IOptometryMITBD

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 49221)

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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: 3375565633View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Where can patients find DR. WILLIE DARRELL SMITH (O.D.)'s NPI?
You can confirm DR. WILLIE DARRELL SMITH (O.D.) with NPI 1437286713; it appears in the national provider directory.
Does this profile mean DR. WILLIE DARRELL SMITH (O.D.) is currently active?
Yes — DR. WILLIE DARRELL SMITH (O.D.) appears active in the national provider directory.
Can you summarize DR. WILLIE DARRELL SMITH (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. WILLIE DARRELL SMITH (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. WILLIE DARRELL SMITH (O.D.)?
We surface Adrian, Michigan for DR. WILLIE DARRELL SMITH (O.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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