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Individual

DR. PENNY B SMYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1157 N YORK ST, MUSKOGEE, OK 74403-2520
(918) 683-8404
(918) 687-4469
Mailing address
1157 N YORK ST, MUSKOGEE, OK 74403-2520
(918) 683-8404
(918) 687-4469

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2083
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100759680C
OK
01
731125139
BLUE CROSS AND BLUE SHIEL
OK
Enumeration date
11/14/2005
Last updated
07/13/2022
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