Scott Edward Smalley is a Optometrist practicing in Troy, Missouri. The National Provider Identifier (NPI) is #1174534879, which was assigned on August 10, 2006, and the registration record was last updated on July 9, 2025. The practitioner's main practice location is at 83 The Plaza, Troy, MO 63379-1365; the contact telephone number is 6364623958, and the fax number is 6364458056. The primary taxonomy of Scott Edward Smalley is Optometrist (152W00000X). Scott Edward Smalley is licensed to practice in the state of Missouri (#2005019135).
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.
NPI | 1174534879 |
Entity Type | Individual |
Provider Name | DR. SCOTT EDWARD SMALLEY |
Gender | Male |
Credential | O.D. |
Practice Address |
83 The Plaza Troy MO 63379-1365 |
Practice Telephone | 6364623958 |
Practice Fax Number | 6364458056 |
Mailing Address |
40 E North St Eureka MO 63025-1205 |
Mailing Telephone | 6362004393 |
Mailing Fax Number | 6364458056 |
Certification Date | 2025-07-09 |
Enumeration Date | 2006-08-10 |
Last Update Date | 2025-07-09 |
Is Sole Proprietor | N |
PAC ID |
1850324450 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
Full Name | SCOTT E SMALLEY |
Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
Primary Specialty | OPTOMETRY |
Organization Legal Name | CLARKSON OPTOMETRY INC |
Address |
3122 S Grand Blvd The Spec Shoppe St Louis MO 63118-1012 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 2005019135 | MO |
Other Identifier | Issuing State | Issuer | Identifier Type |
---|---|---|---|
317177806 | MO | MEDICAID | |
11505611 | CAQH PROVIDER ID | Other | |
1174534879 | MO | MEDICAID |
Code | 152W00000X |
Taxonomy | Optometrist |
Classification | Optometrist |
Grouping | Eye and Vision Services Providers |
Definition: 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. |
Notes: Source: American Optometric Association (AOA), approved by the AOA's Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
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Rumesah Farrukh | 124 E Jericho Tpke, Huntington Station, NY 11746-7324 | Optometrist | 2025-08-07 |
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Madonna Abdelmalak Ghobrial | 655 Fieldstown Rd Ste 114, Gardendale, AL 35071-2441 | Optometrist | 2025-08-08 |
Kelsey Reeves | 5100 N 27th St, Lincoln, NE 68521-4715 | Optometrist | 2025-08-06 |
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Street Address |
83 THE PLAZA |
City | TROY |
State | MO |
Zip Code | 63379-1365 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Nathanael Voss | 219 W College St, Troy, MO 63379-1101 | Professional Counselor | 2025-08-07 |
Claire Elizabeth Chambers | 1000 E Cherry St, Troy, MO 63379-1513 | Physician Assistant | 2024-12-27 |
Steven W Carter | 101 W College St Ste 2, Troy, MO 63379-1124 | Chiropractor | 2014-10-24 |
Evan Jubae Smith | 34 Professional Pkwy, Troy, MO 63379-2822 | Chiropractor | 2025-05-21 |
Kirstynn Greer | 219 W College St, Troy, MO 63379-1101 | Mental Health Counselor | 2025-08-06 |
Taylor Barber | 1000 E Cherry St, Troy, MO 63379-1513 | Pharmacist | 2025-08-04 |
St. Louis Dermatology & Cosmetic Surgery | 540 E Cherry St, Troy, MO 63379-1410 | Dermatopathology Physician | 2022-02-08 |
Frederick L Shinn | 108 Professional Pkwy, Troy, MO 63379 | Physical Therapist | 2006-07-20 |
Chidochomoyo Erneta Zvirawa | 1003 E Cherry St, Troy, MO 63379-1503 | Nurse Practitioner | 2019-06-11 |
Kyla Broeker Witt | 47 Ellis Ave, Troy, MO 63379-1151 | Professional Counselor | 2007-02-05 |
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Provider Name | Address | Taxonomy | Enumeration Date |
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Scott Edward Palazzolo | 300 Bailey St Ste 2, East Lansing, MI 48823-4688 | Social Worker | 2019-05-29 |
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Edward D. Scott Jr. | 1103 Stewart Ave, Hopewell, VA 23860-6011 | Clinical Social Worker | 2024-10-21 |
Robert Smalley | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | Military Health Care Provider | 2018-02-12 |
Scott Edward Cramer | 200 W Arbor Dr, San Diego, CA 92103-9000 | Student in an Organized Health Care Education/Training Program | 2019-03-23 |
Kenneth Edward Scott I | 1523 E Beech Dr, Visalia, CA 93292-2029 | Driver | 2025-08-05 |
Edward Scott Nicklas | 135 Bunton Creek Rd Ste 302, Kyle, TX 78640-5701 | Physical Therapist | 2021-08-19 |
Edward Scott Panzeter | 10030 Gilead Rd Ste 245, Huntersville, NC 28078-7545 | Surgery Physician | 2006-05-17 |
Gregory Scott Edward | 37367 6 Mile Rd, Livonia, MI 48152-2775 | Physical Therapist | 2006-10-27 |
Laurie Smalley | 12150 New York Ranch Rd, Jackson, CA 95642-9407 | Dental Hygienist | 2025-06-20 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |