Organization
FREDERICK EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY D SMART O.D. (OWNER)
(580) 335-2020
Entity
Organization
Contact information
Practice address
104 W GRAND AVE, FREDERICK, OK 73542-5436
(580) 335-2020
(580) 335-7008
Mailing address
104 W GRAND AVE, FREDERICK, OK 73542-5436
(580) 335-2020
(580) 335-7008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2471
OK
Other
Enumeration date
12/18/2006
Last updated
04/19/2011
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