Individual
DR. EDDIE ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
617 S MAIN ST, STILLWATER, OK 74074-4060
(405) 372-7337
(405) 372-7337
Mailing address
617 S MAIN ST, STILLWATER, OK 74074-4060
(405) 372-7337
(405) 372-7339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1168
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000763810A
—
OK
Enumeration date
08/11/2005
Last updated
09/14/2017
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