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Active NPI 1538401476 Individual Practitioner Male Practitioner

Dr. William Douglas Smith , OD

Optometrist • Ponte Vedra Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Smith, OD is a certified Optometrist practicing in Ponte Vedra Beach, FL. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Smith delivers high-quality medical care to the local community at 120 A1A N STE 101.

Dr. Smith is affiliated with Bowman Optometry, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 A1a N Ste 101

Ponte Vedra Beach, FL 320826626

Telephone 9042809000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ponte Vedra Beach, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -14.5 yrs vs City Avg
City Avg: 27.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Ponte Vedra Beach, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (13 Years) 13 Yrs
Ponte Vedra Beach Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
161 158 $134.61 $119.65
99213 Established patient office or other outpatient visit, typically 15 minutes
144 107 $77.00 $75.85
92133 Imaging of optic nerve
59 55 $120.00 $33.88
92134 Imaging of retina
46 45 $120.00 $38.28
92083 Exam of visual field with extended testing
36 33 $109.00 $59.74
92004 New patient complete exam of visual system
35 35 $144.66 $131.50

Medical Specialties & State Licenses

CMS Verified: 2026-05-01
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC5458

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License TN 3128

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License SC 1768

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan
CB218681 (CA)

Hospital & Practice Group Affiliations

Bowman Optometry, Pa

120 A1a, Ponte Vedra Beach, FL 320826626

Phone: 9042809000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1801853296

Doctor of Optometry

Dawson Hey

Optometrist

NPI 1821935065
NPI 1871532754

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
📍
Updated Business Mailing Address March 27, 2026

Registered at 120 A1A N STE 101, PONTE VEDRA BEACH, FL 320826626 (Tel: 9042809000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2026

Optometrist (License #OPC5458 in FL)

📍
Updated Practice Location April 08, 2025

Registered at 120 A1A N STE 101, PONTE VEDRA BEACH, FL 320826626 (Tel: 9042809000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Optometrist (License #1768 in SC)

NPI Profile Active January 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2018

Registered at 806 RIVERSIDE AVE, JACKSONVILLE, FL 322043300 (Tel: 9043567101)

📍
Updated Business Mailing Address January 02, 2018

Registered at 806 RIVERSIDE AVE, JACKSONVILLE, FL 322043300 (Tel: 9043567101)

👤
Provider Name / Credentials Updated January 02, 2018

Recorded as WILLIAM SMITH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2018

Optometrist (License #OPC5458 in FL)

📍
Updated Practice Location November 15, 2017

Registered at 806 RIVERSIDE AVE, JACKSONVILLE, FL 322043300 (Tel: 9043567101)

📍
Updated Business Mailing Address November 15, 2017

Registered at 806 RIVERSIDE AVE, JACKSONVILLE, FL 322043300 (Tel: 9043567101)

📍
Updated Practice Location March 15, 2017

Registered at 1536 N JEFFERSON ST, DEPT OF VETERANS AFFIARS - EYECARE, JACKSONVILLE, FL 32209 (Tel: 9044756310)

📍
Updated Business Mailing Address March 15, 2017

Registered at 1536 N JEFFERSON ST, DEPT OF VETERANS AFFIARS - EYECARE, JACKSONVILLE, FL 32209 (Tel: 9044756310)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2017

Optometrist (License #1768 in SC)

NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2015

Registered at 2080 CENTURY PARK E, SUITE 911, LOS ANGELES, CA 900672001 (Tel: 3102291220)

📍
Updated Business Mailing Address April 15, 2015

Registered at 2080 CENTURY PARK E, SUITE 911, LOS ANGELES, CA 900672001 (Tel: 3102291220)

👤
Provider Name / Credentials Updated April 15, 2015

Recorded as WILLIAM SMITH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

Optometrist (License #14823 TLG in CA)

🟢
Initial NPI Registration & Enumeration March 18, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538401476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2013
Last Update: May 01, 2026
Sole Proprietor: Yes

Mailing Address

120 A1a N Ste 101

Ponte Vedra Beach, FL 320826626

Phone: 9042809000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.