Organization
JACOB T SMITH OD PLLC
Active
Other names
Classic Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB TYLER SMITH O.D. (OPTOMETRIST)
(405) 447-5001
Entity
Organization
Contact information
Practice address
3720 W ROBINSON ST, STE 118, NORMAN, OK 73072-3640
(405) 447-5001
(405) 447-4680
Mailing address
3720 W ROBINSON ST, STE 118, NORMAN, OK 73072-3640
(405) 447-5001
(405) 447-4680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2503
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112670A
—
OK
01
—
B5591
GROUP PTAN
OK
Enumeration date
04/14/2009
Last updated
12/01/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us