Organization
OSCAR A. SMITH, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR A SMITH O.D. (OWNER)
(601) 736-5396
Entity
Organization
Contact information
Practice address
317 CHURCH ST, COLUMBIA, MS 39429-2725
(601) 736-5396
(601) 736-0182
Mailing address
PO BOX 1247, COLUMBIA, MS 39429-1247
(601) 736-5396
(601) 736-0182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
465
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087835
—
MS
01
—
1841474673
MEDICARE NPI
MS
01
—
2230037
UNITED HEALTH CARE
MS
Enumeration date
12/28/2007
Last updated
01/07/2013
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