Individual
MR. JACOB TYLER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
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
152W00000X
Optometrist
Primary
2503
OK
Other
Enumeration date
08/31/2006
Last updated
05/16/2011
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