National Provider Identifier Database

MARK P SMITH, OD – NPI #1952497679
Optometrist

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.


Contact Information

MARK P SMITH, OD
211 NORTH WHITWORTH AVE
BROOKHAVEN, MS39601
Phone: 601-833-4431
Fax: 601-833-1007
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MARK P SMITH

NPI Number 1952497679
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/04/2006
Last updated 09/20/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 449
  • MS Medicaid: 09125722
  • MS Other: 512G700288 MEDICARE PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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