Frederick Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2471 Issued in OK

Legal business name

FREDERICK EYE CARE PLLC

Practice address

1009 Texas St
Woodward, OK 73801-3127

Phone

(580) 254-8020

Fax

(580) 254-8377

NPI assigned

Nov 23, 2009

Organization subpart

Yes

Parent organization

FREDERICK EYE CARE PLLCAs reported in NPPES

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

President

Phone

(580) 335-2020

Specialties & licenses 1

Addresses

Other names 1

• Woodward Vision Care Doing business as

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
  • Frederick, OK
  • NPI 1164585758

  3779688171

  Same PAC ID

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

Part of

Frederick Eye Care PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Frederick Eye Care PLLC

  • Optometrist
  • Frederick, OK
  • NPI 1164585758
  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
  Care Compare group NPD Authorized official
• Cooper Free, OD

  • Optometrist
  • Woodward, OK
  • NPI 1134800071
  Care Compare group NPD
• Trey Dean Carlisle, O.D.

  • Optometrist
  • Beaver, OK
  • NPI 1629357116
  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": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1265760680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738020187",
            "telephone_number": "580-254-8020",
            "fax_number": "580-254-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 TEXAS ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013127",
            "telephone_number": "580-254-8020",
            "fax_number": "580-254-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK EYE CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK EYE CARE PLLC",
        "enumeration_date": "2009-11-23",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": [
        {
            "organization_name": "Woodward Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Deanne Foster, APRN
• Pamela Foster
• Elizabeth Fox-Shipley
• Frank S. Aaron, D.P.M.
• Lynda Frech
• Cooper Free, OD
• Sarah Freeman
• Stephanie Fullbright
• Hallee Fuqua
• Garrett D. Olive, DDS, PLLC

• All providers in Woodward, OK
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.