| Doctor Name: | DR. ROGER K SMITHHART |
| NPI Number: | 1689742793 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 476 |
| Business Practice Address: | 500k E Woodrow Wilson Ave Jackson, MS - 392164538 |
| Business Phone Number: | 6013664221 |
| Business Fax Number: | 6013623153 |
| Mailing Address: | 500k E Woodrow Wilson Ave, JACKSON |
| State: | MS |
| Postal Code: | 392164538 |
| Phone Number: | 6013664221 |
| Fax Number: | 6013623153 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 06/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 476 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |