Dr Stephen Damon Smith, OD | |
140 W Market St, Louisville, KY 40202-1332 | |
(502) 587-8696 | |
(502) 587-8165 |
Full Name | Dr Stephen Damon Smith |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 140 W Market St, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114929460 | NPI | - | NPPES |
000000198612 | Other | KY | ANTHEM PROVIDER |
918468 | Other | KY | BLOCK PROVIDER |
1445DT | Other | KY | KY OPTOMETRY LICENSE |
77340503 | Medicaid | KY | |
18002709 | Other | IN | IN OPTOMETRY LICENSE |
21434 | Other | KY | CVC PROVIDER |
11221323 | Other | KY | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18002709 (Indiana) | Secondary |
152W00000X | Optometrist | 1445 DT (Kentucky) | Primary |
Provider Name | Svs Vision Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194879023 PECOS PAC ID: 9931257110 Enrollment ID: O20111004000169 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Damon Smith, OD 140 W Market St, Louisville, KY 40202-1332 Ph: (502) 587-8696 | Dr Stephen Damon Smith, OD 140 W Market St, Louisville, KY 40202-1332 Ph: (502) 587-8696 |
Dr. Andrew Morgan Harvey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12406 La Grange Rd Ste 202, Louisville, KY 40245 Phone: 502-243-3733 Fax: 502-243-3734 | |
Laura Lea Bassett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7635 Shelbyville Rd, Louisville, KY 40222 Phone: 502-423-8500 Fax: 502-584-2365 | |
Dr. Fiona S Boak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3706 Diann Marie Rd, Louisville, KY 40241 Phone: 502-326-3114 Fax: 502-326-9751 | |
Todd F Lewis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5338 S 3rd St, Louisville, KY 40214 Phone: 502-366-4530 Fax: 502-366-4590 | |
Dr. Richard Schuyler Roush, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7900 Shelbyville Rd Ste A15, Louisville, KY 40222 Phone: 502-327-8568 Fax: 502-327-0613 | |
Eye Care For Kids, Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3703 Taylorsville Rd, Sutie 120, Louisville, KY 40220 Phone: 502-451-5437 Fax: 502-451-5141 | |
Dr. Sara L Pourheydarian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Poplar Level Rd, Louisville, KY 40213 Phone: 502-459-2020 Fax: 502-456-9121 |