Doctor Name: | DR. TROY .L SMITH |
NPI Number: | 1790880094 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O. D. |
License Number: | 1015 |
Business Practice Address: | 504 College Ave Alva, OK - 737172222 |
Business Phone Number: | 5803272393 |
Business Fax Number: | 5803272396 |
Mailing Address: | Po Box 969, ALVA |
State: | OK |
Postal Code: | 737170969 |
Phone Number: | 5803272393 |
Fax Number: | 5803272396 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 1015 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
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. |