R K Smithhart, O. D.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

476 Issued in MS

Legal business name

R K SMITHHART, O. D.

Practice address

500K E Woodrow Wilson Ave
Jackson, MS 39216-4538

Phone

(601) 366-4221

Fax

(601) 362-3153

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kirk Smithhart, O.D.

Title

Optometrist

Phone

(601) 366-4221

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1619146735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500K E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-366-4221",
            "fax_number": "601-362-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500K E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-366-4221",
            "fax_number": "601-362-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R K SMITHHART, O. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SMITHHART",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "601-366-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087892",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Jackson, MS
• Providers in Jackson, MS by specialty
• Eyewear Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.