Smith & Smith Optometrist Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1015 Issued in OK

Legal business name

SMITH & SMITH OPTOMETRIST INC

Practice address

504 College Ave
Alva, OK 73717-2222

Phone

(580) 327-2393

Fax

(580) 327-2396

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Troy L Smith, OK

Title

President

Phone

(580) 327-2393

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Alva Vision Clinic, Troy L. Smith, OD Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott K. McEachern, O.D.

  • Optometrist
  • Enid, OK
  • NPI 1467535849
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1033218904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737170969",
            "telephone_number": "580-327-2393",
            "fax_number": "580-327-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 COLLEGE AVE",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172222",
            "telephone_number": "580-327-2393",
            "fax_number": "580-327-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH & SMITH OPTOMETRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-327-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OK"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1015",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "1015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "410000420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410000420",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100733620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alva Vision Clinic, Troy L. Smith, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Kay Scott, DPH
• Marsha Sue Selby, LPN
• Self Provider Group
• Tamara Severin
• Sarah Sherman
• Ginger Reah Smith, LPC
• Larry Gilmer Smith, DDS
• Virginia Snyder
• Reva D Spencer
• State of Oklahoma

• Optometrist in Alva, OK
• Providers in Alva, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.