{"npi":"1487844536","type":"NPI-2","status":"active","name":{"display":"Kevin Smith OD And Associates INC","other":[],"organization_name":"KEVIN SMITH OD AND ASSOCIATES INC","authorised_official":"Kevin Smith"},"specialty":{"primary_taxonomy":"152WC0802X","primary_taxonomy_description":"Corneal and Contact Management Optometrist","slug":"corneal-and-contact-management-optometrist","schema_org_specialty":null,"all":[{"code":"332H00000X","description":"Eyewear Supplier","primary":false,"state":"FL","license":"OPC 3456"},{"code":"152WC0802X","description":"Corneal and Contact Management Optometrist","primary":true,"state":"FL","license":"OPC3456"}]},"addresses":[{"purpose":"LOCATION","street_1":"4117 HENDERSON BLVD","city":"TAMPA","state":"FL","postal_code":"336295749","country_code":"US","phone":"8132078984","fax":"8132078954"},{"purpose":"MAILING","street_1":"4117 HENDERSON BLVD","city":"TAMPA","state":"FL","postal_code":"336295749","country_code":"US","phone":"8132078984","fax":"8132078954"}],"license":{"state":"FL","number":"OPC3456"},"identifiers":[{"type_code":"01","label":"Other","value":"11221087","state":"FL","issuer":"CAQH"},{"type_code":"05","label":"Medicaid","value":"620814201","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080530000596","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"4082511795"}]},"enumeration_date":"2007-07-25","last_updated":"2008-11-04","_meta":{"source":"NPPES","snapshot_date":"2008-11-04","doc_url":"https://findmynpi.com/api"}}