ADAM RICHARD SMITH (OD) – Optometrist, NPI 1912591884

ADAM RICHARD SMITH (OD) is a healthcare provider. based in Issaquah, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.006923 (OH). The NPI Number for ADAM RICHARD SMITH (OD) is 1912591884

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ADAM RICHARD SMITH (OD)
NPI
1912591884
Phone
(425) 269-0320
Address
4450 189TH PL SE
Enumeration Date
22 February 2021
Last Update Date
5 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253928756
Graduation Year
2020 (6 years ago)
PAC ID
6709242316
Group Practice PAC ID
6507195260
Professional Enrollment ID
I20230523002279
Address ID
WA980272483IS450XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for ADAM RICHARD SMITH (OD)

  • 4450 189TH PL SE

    ISSAQUAH, WA 980279710

    Phone: (425) 269-0320

    Type: Mailing

  • 450 NW GILMAN BLVD STE 104

    ISSAQUAH, WA 980272483

    Phone: (425) 392-8756

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $641.

Total Amount is formed as General ($641) + Research ($0) + Ownership ($0) = $641.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Alcon Vision LLC ($334).

Total Amount

$641

General + Research + Ownership

Payments

15

Total payment records

General Amount

$641

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2023-05-23

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
I20230523002279IOptometryWATBD

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 system2929$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
92004New patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 98027)

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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: 6507195260View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA
-WA

Reviews

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Frequently asked questions

What is the standard ID for ADAM RICHARD SMITH (OD) in the U.S.?
In the U.S., ADAM RICHARD SMITH (OD) is identified by NPI 1912591884.
Is ADAM RICHARD SMITH (OD)'s NPI status active today?
Active status means ADAM RICHARD SMITH (OD)'s NPI record is not deactivated in the public file.
What type of care does ADAM RICHARD SMITH (OD) provide?
ADAM RICHARD SMITH (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to ADAM RICHARD SMITH (OD)?
ADAM RICHARD SMITH (OD) shows a connection to Issaquah, Washington in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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