Frederick Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2471 Issued in OK

Legal business name

FREDERICK EYE CARE PLLC

Practice address

104 W Grand Ave
Frederick, OK 73542-5436

Phone

(580) 335-2020

Fax

(580) 335-7008

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy D Smart, O.D.NPI 1114983897

Title

Owner

Phone

(580) 335-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Frederick Eye Care PLLC

  • Optometrist
  • Woodward, OK
  • NPI 1265760680

  3779688171

  Same PAC ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Frederick Eye Care PLLC

  • Optometrist
  • Woodward, OK
  • NPI 1265760680
  NPPES parent name

Practitioners 4

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

• Jimmy D Smart, OD

  • Optometrist
  • Woodward, OK
  • NPI 1114983897

  OK, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Cooper Free, OD

  • Optometrist
  • Woodward, OK
  • NPI 1134800071

  OK, Optometrist

  Medicare reassignment Care Compare group NPD
• Trey Dean Carlisle, O.D.

  • Optometrist
  • Beaver, OK
  • NPI 1629357116

  OK, Optometrist

  Medicare reassignment NPD
• Jacoby John Dewald, OD

  • Optometrist
  • Woodward, OK
  • NPI 1740591973
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1164585758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W GRAND AVE",
            "city": "FREDERICK",
            "state": "OK",
            "postal_code": "735425436",
            "telephone_number": "580-335-2020",
            "fax_number": "580-335-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W GRAND AVE",
            "city": "FREDERICK",
            "state": "OK",
            "postal_code": "735425436",
            "telephone_number": "580-335-2020",
            "fax_number": "580-335-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-335-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Tillman-City of Frederick Hospital Authority
• County of Tillman-City of Frederick Hospital Authority
• County of Tillman-City of Frederick Memorial Hospital
• Calli Jewell Denny, PA
• Christine Farrone
• Frederick Pharmacy Inc
• Frederick Pharmacy Inc
• Frederick Pharmacy, Inc.
• Full Circle Therapy
• Patricia Ann Gaffney

• All providers in Frederick, OK
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.