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Deactivated NPI 1427193200 Deactivated / Inactive NPI Male Practitioner

Dr. Scott Monson Smith , OD

Optometrist • Bellevue, WA

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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. Scott Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2007
NPI Deactivation Date May 29, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Scott Smith, OD was a registered Optometrist practicing in Bellevue, WA. Throughout an active medical career spanning 18 years, Dr. Smith provided care at the practice location at 3923 FACTORIA SQUARE MALL SE until profile deactivation on 2025-05-29.

Practice Location & Contact Primary Location

Practice Address

3923 Factoria Square Mall Se

Bellevue, WA 980061264

Telephone 4256447702
Fax 4256432761
Associated Practice Facility / Clinic
🏢 Luxottica Of America Inc. Facility NPI 1811051428

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.6 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
68 Specialists

Practicing in Bellevue, WA (1692 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 WA 00003629

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.

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 May 29, 2025

Record deactivated on May 29, 2025

NPI Profile Active February 09, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 09, 2013

Registered at 3923 FACTORIA SQUARE MALL SE, BELLEVUE, WA 980061264 (Tel: 4256447702)

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Updated Business Mailing Address February 09, 2013

Registered at 3251 99TH AVE NE, BELLEVUE, WA 980041803 (Tel: 4254558319)

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Provider Name / Credentials Updated February 09, 2013

Recorded as SCOTT SMITH, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2013

Optometrist (License #00003629 in WA)

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Initial NPI Registration & Enumeration February 20, 2007

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: 1427193200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: February 09, 2013
Deactivation Date: May 29, 2025

Mailing Address

3251 99th Ave Ne

Bellevue, WA 980041803

Phone: 4254558319

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.