Steve L Smith OD Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

870 Issued in OK

Legal business name

STEVE L SMITH OD PROFESSIONAL CORPORATION

Doing business as

Primary Eye Care Associates

Practice address

212 E Blue Starr Dr
Claremore, OK 74017-4223

Phone

(918) 341-8211

Fax

(918) 341-8233

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lacy N Crissup, O.D.NPI 1851521819

Title

Vice-President

Phone

(918) 341-8211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Primary Eye Care Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lacy Nicole Crissup, O.D.

  • Optometrist
  • Claremore, OK
  • NPI 1851521819
  Medicare reassignment Care Compare group NPD Authorized official
• Chelsea Breann Leonard, OD

  • Optometrist
  • Claremore, OK
  • NPI 1467334128
  Medicare reassignment Care Compare group NPD
• Steve L. Smith, O.D.

  • Optometrist
  • Claremore, OK
  • NPI 1386630721
  Medicare reassignment NPD

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1245401058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174223",
            "telephone_number": "918-341-8211",
            "fax_number": "918-341-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174223",
            "telephone_number": "918-341-8211",
            "fax_number": "918-341-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE L SMITH OD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "CRISSUP",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "918-341-8211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Steinbrook
• Gary L Steinbrook, D.O.
• Glenda Kay Stephens, LPC
• Kelly Stephens, PMHNP-BC
• Sandra Stephenson
• Corey Wayne Stevens
• Dana Kai Stevens
• Melanie Jean Stevens
• Gwendolyn Steward
• Carol Frances Stewart, CNS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.