DR. PHILIP L SMITH (OD) – Optometrist, NPI 1184690877

DR. PHILIP L SMITH (OD) is a healthcare provider. based in San antonio, Texas. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 04549TG (TX). The NPI Number for DR. PHILIP L SMITH (OD) is 1184690877

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP L SMITH (OD)
NPI
1184690877
Phone
(210) 222-2154
Address
1100 N MAIN AVE
Enumeration Date
23 February 2006
Last Update Date
14 April 2017

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
2102222154
Graduation Year
1991 (35 years ago)
PAC ID
4183818115
Group Practice PAC ID
8224043732
Professional Enrollment ID
I20101103000495
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

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Provider Addresses for DR. PHILIP L SMITH (OD)

  • Braverman-Terry-Oei Eye Associates, 1100, North Main Avenue, San Antonio, Bexar County, Texas, 78215, United States

    SAN ANTONIO, TX 782124701

    Phone: (210) 222-2154

    Fax: (210) 227-6056

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $162.

Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: NEW WORLD MEDICAL,INC. ($125).

Total Amount

$162

General + Research + Ownership

Payments

2

Total payment records

General Amount

$162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2010-11-03

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
I20101103000495IOptometryTXTBD

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 78212)

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Provider's Procedures

DR. PHILIP L SMITH (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92012Eye and medical examination for diagnosis and treatment, established patient12853
OPTOMETRYTX92134Diagnostic imaging of retina7539

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: 8224043732View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What number should I use to identify DR. PHILIP L SMITH (OD) for billing?
Administrative and clinical systems typically use NPI 1184690877 for DR. PHILIP L SMITH (OD).
Should I treat DR. PHILIP L SMITH (OD) as an active provider?
Patients and plans typically see DR. PHILIP L SMITH (OD) as active in the national extract.
Which specialty label fits DR. PHILIP L SMITH (OD)?
NPPES ties DR. PHILIP L SMITH (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. PHILIP L SMITH (OD) tied to San Antonio, Texas?
If you are local to San Antonio, Texas, DR. PHILIP L SMITH (OD) may be relevant to your search.
Can I export DR. PHILIP L SMITH (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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