MR. KEITH BARRY SMITH (NPI# 1205950730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205950730 |
| Entity Type | Individual |
| Full Name | MR. KEITH BARRY SMITH |
| Credential | OPTICIAN |
| Practice Address |
880 N Miramar Ave Indialantic FL 32903 |
| Practice Telephone | 3217294340 |
| Practice Fax Number | 3217294340 |
| Mailing Telephone | 3217294340 |
| Mailing Fax Number | 3217294340 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
2197 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1851886931 | Keith Smith | Behavior Technician | 3347 Del Mar Ave, Rosemead, CA 91770-2329 | 2018-06-29 |
| 1215309836 | Keith Smith | Contractor | 1755 State Route 39, Lucas, OH 44843 | 2015-10-22 |
| 1265877286 | Keith Smith | Pharmacist | 382 Ridge Dr, Hayden, AL 35079-7013 | 2013-05-03 |
| 1891027066 | Keith Joseph Smith | Pharmacist | 4290 W Vienna Rd, Clio, MI 48420-9454 | 2010-02-12 |
| 1235148859 | Keith Shipley Smith II | Dentist | 3212 Gulf Gate Dr, Sarasota, FL 34231-2404 | 2006-08-05 |
| 1194770362 | Keith Wayne Smith | Dentist | 2501 Market Trce, Ste A, Fort Smith, AR 72908-8677 | 2006-05-24 |
| 1447740295 | Keith A Smith | Marriage & Family Therapist | 5350 N Academy Blvd, Colorado Springs, CO 80918-4098 | 2018-05-17 |
| 1134626013 | Keith D. Smith | Community/Behavioral Health | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2018-04-09 |
| 1356799886 | Keith Altarik Smith | Developmental Therapist | 421 Fayetteville St, Suite 1100, Raleigh, NC 27601-1792 | 2016-05-25 |
| Street Address |
880 N MIRAMAR AVE |
| City | INDIALANTIC |
| State | FL |
| Zip Code | 32903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235317983 | Optique Unique | Eyewear Supplier (Equipment, not the service) | 880 N Miramar Ave, Indialantic, FL 32903-3054 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891330940 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 700 N. Miramar Avenue, Indialantic, FL 32903 | 2019-11-13 |
| 1518511062 | Marco Italia | Physical Therapist | 1220 N Highway A1a Ste 117, Indialantic, FL 32903 | 2019-08-01 |
| 1043755036 | Mary Parker | Behavior Technician | 290 Paradise Blvd Apt 17, Indialantic, FL 32903 | 2016-12-29 |
| 1083918908 | William G. Devanney | Pharmacist | 700 North Miramar Ave, Indialantic, FL 32903 | 2011-01-06 |
| 1982868907 | Jennifer Uhl Scott | Contractor | 122 4th Ave Ste 200, Indialantic, FL 32903 | 2008-07-18 |
| 1376712158 | Centre for Family Medicine | Family Medicine | 241 6th Ave, Indialantic, FL 32903 | 2008-02-26 |
| 1437364650 | Indialantic Chiropractic & Acupuncture Inc | Chiropractor | 322 Fourth Avenue, Indialantic, FL 32903 | 2007-05-11 |
| 1689716300 | Jeri Lynn Andrews-judge | Specialist | 720 N Miramar Avenue, Indialantic, FL 32903 | 2007-02-12 |
| 1376633750 | Colleen Cook Tobia | Pharmacist | 2200 North Highway A1a, Walgreens, Melbourne, FL 32903 | 2006-10-13 |
| 1518983576 | Joseph Robert Cwikla | Dentist | 404 5th Ave, Indialantic, FL 32903 | 2006-07-14 |
| Find all providers in zip 32903 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
| 1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
| 1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
| 1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| 1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | INDIALANTIC |
| Zip Code | 32903 |
Please comment or provide details below to improve the information on MR. KEITH BARRY SMITH.
| 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.