KEITH SMITHSON (OD) – Optometrist, NPI 1154339687

KEITH SMITHSON (OD) is a healthcare provider. based in Falls church, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618001041 (VA). The NPI Number for KEITH SMITHSON (OD) is 1154339687

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KEITH SMITHSON (OD)
NPI
1154339687
Phone
(703) 573-1200
Address
7263E ARLINGTON BLVD
Enumeration Date
3 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5409555051
Graduation Year
2000 (26 years ago)
PAC ID
9436325925
Group Practice PAC ID
1759301765
Professional Enrollment ID
I20210504000324
Address ID
VA226111337BE3XXXXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

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Provider Addresses for KEITH SMITHSON (OD)

  • 7263E ARLINGTON BLVD

    FALLS CHURCH, VA 220423219

    Phone: (703) 573-1200

    Fax: (703) 573-1250

    Type: Mailing

  • Sports Vision, 11656, Plaza America Drive, Plaza America, Sunset Hills, Reston, Fairfax County, Virginia, 20190, United States

    RESTON, VA 201904767

    Phone: (703) 467-9080

    Fax: (703) 467-9082

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $2,325.

Total Amount is formed as General ($2,325) + Research ($0) + Ownership ($0) = $2,325.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($1,596).

Total Amount

$2,325

General + Research + Ownership

Payments

36

Total payment records

General Amount

$2,325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2021-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120105000035IOptometryDCTBD
I20210504000324IOptometryVATBD

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
92250Photography of the retina149148$0
92014Established patient complete exam of visual system122122$0
99214Established patient office or other outpatient visit, 30-39 minutes5750$0
92004New patient complete exam of visual system2525$0
92083Exam of visual field with extended testing1211$0
View full utilization report →

Insurance plans in this area (ZIP 22042)

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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: 1759301765View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEITH SMITHSON (OD)?
KEITH SMITHSON (OD) — NPI 1154339687 — is the standard way to identify this listing.
Does the file indicate KEITH SMITHSON (OD) is practicing under active NPI?
Directory data currently reports KEITH SMITHSON (OD) as active.
What is KEITH SMITHSON (OD)'s primary classification?
Optometrist is the headline specialty for KEITH SMITHSON (OD) here. Clinical services aligned with this taxonomy classification.
What area does KEITH SMITHSON (OD) serve?
KEITH SMITHSON (OD)'s listing highlights Falls Church, Virginia; more addresses can appear in NPPES.
Why does KEITH SMITHSON (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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