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Contact Information

DR. PENNY B. SMYTHE, INC., PC
1157 N. YORK ST.
MUSKOGEE, OK74403
 Phone: 918-683-8404
 Fax: 918-687-4469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR. PENNY B. SMYTHE, INC., PC

NPI Number 1386047256
LBN Legal business name DR. PENNY B. SMYTHE, INC., PC
Authorized official PENNY SMYTHE - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2014
Last updated 10/06/2014 - About 12 years ago
Identifiers
OK License # 2083
OK Medicaid 100766280A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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