Organization
DR. EDDIE ALAN SMITH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE ALAN SMITH O.D. (PRESIDENT)
(405) 372-7337
Entity
Organization
Contact information
Practice address
617 S MAIN ST, STILLWATER, OK 74074-4060
(405) 372-7337
Mailing address
617 S MAIN ST, STILLWATER, OK 74074-4060
(405) 372-7337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1168
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763810A
—
OK
01
—
1104828946
TYPE I NPI
OK
Enumeration date
05/07/2007
Last updated
07/06/2015
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