Organization
JACOB T. SMITH, O.D. PLLC
Active
Parent organization
JACOB T. SMITH, O.D. PLLC
Other names
Dr. Smith's Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACOB T. SMITH, O.D. PLLC
Authorized official
DR. JACOB T SMITH O.D. (OWNER/OPTOMETRIST)
(405) 447-5001
Entity
Organization
Contact information
Practice address
3720 W ROBINSON ST, SUITE 118, NORMAN, OK 73072-3657
(405) 447-5001
(405) 447-4680
Mailing address
3720 W ROBINSON ST, SUITE 118, NORMAN, OK 73072-3657
(405) 447-5001
(405) 447-4680
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2503
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112670A
—
OK
Enumeration date
06/30/2009
Last updated
06/30/2009
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