Organization
R. KIRK SMITHHART, O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R KIRK SMITHHART O.D. (DOCTOR)
(601) 366-4221
Entity
Organization
Contact information
Practice address
500K E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 366-4221
(601) 362-3153
Mailing address
500K E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 366-4221
(601) 362-3153
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
476
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087892
—
MS
Enumeration date
04/05/2012
Last updated
10/23/2012
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