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Deactivated NPI 1730176033 Deactivated / Inactive NPI Male Practitioner

Dr. Randy L. Smith , OD

Optometrist • Newark, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randy Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2005
NPI Deactivation Date January 26, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Randy Smith, OD was a registered Optometrist practicing in Newark, OH. Throughout an active medical career spanning 12 years, Dr. Smith provided care at the practice location at 1315 N 21ST ST until profile deactivation on 2017-01-26.

Practice Location & Contact Primary Location

Practice Address

1315 N 21st St

Newark, OH 430553090

Telephone 7403649130
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1588681787

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Newark, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Newark, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4684

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Gloria Sole

Technician/Technologist - Optician

NPI 1295432722
Diana Anderson

Technician/Technologist - Optician

NPI 1386479509
Brittney Kelso

Technician/Technologist - Optician

NPI 1477250900
Christopher Ricciardo

Technician/Technologist - Optician

NPI 1609574730
NPI 1902114036

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 26, 2017

Record deactivated on January 26, 2017

NPI Profile Active September 29, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2011

Registered at 1315 N 21ST ST, NEWARK, OH 430553090 (Tel: 7403649130)

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Updated Business Mailing Address September 29, 2011

Registered at 125 S PLUM ST, GRANVILLE, OH 430231149 (Tel: 7405874406)

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Provider Name / Credentials Updated September 29, 2011

Recorded as RANDY SMITH, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2011

Optometrist (License #4684 in OH)

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Initial NPI Registration & Enumeration October 02, 2005

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: 1730176033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2005
Last Update: September 29, 2011
Deactivation Date: January 26, 2017

Mailing Address

125 S Plum St

Granville, OH 430231149

Phone: 7405874406

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.