Organization
SMITH & SMITH OPTOMETRIST INC
Active
Other names
Alva Vision Clinic, Troy L. Smith, OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY L SMITH OK (PRESIDENT)
(580) 327-2393
Entity
Organization
Contact information
Practice address
504 COLLEGE AVE, ALVA, OK 73717-2222
(580) 327-2393
(580) 327-2396
Mailing address
PO BOX 969, ALVA, OK 73717-0969
(580) 327-2393
(580) 327-2396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1015
OK
332H00000X
Eyewear Supplier
1015
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100733620A
—
OK
01
—
410000420
RAILROAD MEDICARE
OK
01
—
410000420
UNSPECIFIED
—
Enumeration date
09/21/2006
Last updated
05/21/2008
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