DR. ANDREW TIMOTHY SMITH (NPI# 1053848572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053848572 |
| Entity Type | Individual |
| Full Name | DR. ANDREW TIMOTHY SMITH |
| Credential | OD |
| Practice Address |
2230 N University Pkwy Ste 10a Provo UT 84604-1594 |
| Mailing Address |
1896 E 280 S Spanish Fork UT 84660-5834 |
| Practice Telephone | 8013734550 |
| Mailing Telephone | 2088503715 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10370070-9934 | UT | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
10370070-9934 | UT | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
10370070-9934 | UT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259315 | Andrew E Smith | Speech-Language Pathologist | 145 S Central Ave, Columbus, OH 43222-1324 | 2020-09-15 |
| 1730710781 | Andrew Bodkin Smith | Registered Nurse | 550 Orchard Park Rd Ste B103, West Seneca, NY 14224-2655 | 2020-01-29 |
| 1831656065 | Andrew Robert Smith | Specialist/Technologist | 1001 Uta Blvd Apt 128c, Arlington, TX 76013-6937 | 2019-02-24 |
| 1689138273 | Andrew Dylan Smith | Student in an Organized Health Care Education/Training Program | 3900 Yorktowne Blvd Apt 4801, Port Orange, FL 32129-6033 | 2019-01-28 |
| 1619459385 | Andrew Jay Smith | Massage Therapist | 369 Rutland Rd Apt 2l, Brooklyn, NY 11225-5577 | 2018-08-29 |
| 1588153845 | Andrew Michael Smith | Student in an Organized Health Care Education/Training Program | 462 Grider Street 206 Dk Miller Building, Erie County, Buffalo, NY 14215 | 2018-05-02 |
| 1013427277 | Andrew Smith | Case Manager/Care Coordinator | 8430 Gibbs Pl, Philadelphia, PA 19153-1909 | 2017-10-02 |
| 1144778630 | Andrew Smith | Nurse Anesthetist, Certified Registered | 622 West 168th Street, New York, NY 10032 | 2016-09-14 |
| 1891158762 | Andrew W Smith | Student in an Organized Health Care Education/Training Program | 827 22nd St Sw, Puyallup, WA 98371-8701 | 2016-03-29 |
| 1710379987 | Andrew Smith | Licensed Practical Nurse | 1466 E 45th St, Brooklyn, NY 11234-3004 | 2015-02-25 |
| Street Address |
2230 N UNIVERSITY PKWY STE 10A |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336336080 | Eye Clinic & Contact Lens Center of Utah Valley PC | Optometrist | 2230 N University Pkwy Ste 10a, Provo, UT 84604-1594 | 2007-09-26 |
| 1831405919 | Eye Clinic & Contact Lens Center of Utah Valley PC | Optometrist | 2230 N University Pkwy Ste 10a, Cottontree Square, Provo, UT 84604-1594 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164834834 | Devin Acel Duval | Optometrist | 3507 N University Ave Ste 225, Provo, UT 84604-6635 | 2014-05-28 |
| 1235304064 | Clr Vision PC | Optometrist | 1675 N 200 W #11a, Provo, UT 84604-2570 | 2008-04-23 |
| 1336336080 | Eye Clinic & Contact Lens Center of Utah Valley PC | Optometrist | 2230 N University Pkwy Ste 10a, Provo, UT 84604-1594 | 2007-09-26 |
| 1760542609 | Merlin Leon Mcentire | Optometrist | 1200 Towne Centre Blvd Spc 2104, Provo, UT 84601-2985 | 2006-12-11 |
| 1891882155 | Standard Optical Co | Optometrist | 1200 Provo Towne Centre, 1060, Provo, UT 84601 | 2006-10-06 |
| 1750487609 | Loran D Cook Md PC | Optometrist | 1055 N 300 W Ste 204, Provo, UT 84604-3374 | 2006-09-16 |
| 1013012715 | Ronald M Pugh | Optometrist | 2696 No University Ave, #100a, Provo, UT 84604 | 2006-09-14 |
| 1255343695 | Frank A Siddoway | Optometrist | 1675 N 200 W, #11- A, Provo, UT 84604-2540 | 2006-08-13 |
| 1235110149 | Phillip Anthony Plothow | Optometrist | 3651 N 100 E, Ste 250, Provo, UT 84604-4597 | 2005-11-08 |
| 1164414744 | Traer Gary Caywood | Optometrist | 1355 N University Ave, Suite 100, Provo, UT 84604-2721 | 2005-08-18 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.