DR JOHN O SMITH OPTOMETRIST PC; NPI #1720426208

Contact Information

DR JOHN O SMITH OPTOMETRIST PC

1201 S MAIN ST
HENNESSEY, OK 73742-1744

Phone: 405-853-6800
Fax: 405-853-6805
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for DR JOHN O SMITH OPTOMETRIST PC

NPI Number 1720426208

LBN Legal business name DR JOHN O SMITH OPTOMETRIST PC

Authorized official JOHN SMITH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/06/2013

Last updated 06/06/2013 - About 13 years ago

Identifiers

OK	License #	1014
OK	Medicaid	100763790A

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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DR JOHN O SMITH OPTOMETRIST PC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for DR JOHN O SMITH OPTOMETRIST PC

Reviews for DR JOHN O SMITH OPTOMETRIST PC