Active NPI
Michael H Smith, O.D.
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1659446110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1117
- Practice address
- 3736 NW 50TH St
Oklahoma City, OK 73112-2554 - Phone
- (405) 947-1512
- Fax
- (405) 947-1511
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1117 | OK | Primary |
Addresses
Primary practice location
3736 NW 50TH St
Oklahoma City, OK 73112-2554
Mailing address
3736 NW 50TH St
Oklahoma City, OK 73112-2554
Phone (405) 947-1512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1117 | OK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Thomas Wolf and Associates PLLC | Current | Accepting new patients |
Locations
3431 S Boulevard
Ste 105
Edmond, OK 73013
Phone (405) 341-6941
123 N Mustang Rd
Mustang, OK 73064
Phone (405) 376-0222
12444 NW 10th St
Ste 101
Yukon, OK 73099
Phone (405) 265-7521
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Edmond, OK
- NPI 1992754949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1659446110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3736 NW 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122554",
"telephone_number": "405-947-1512",
"fax_number": "405-947-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3736 NW 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122554",
"telephone_number": "405-947-1512",
"fax_number": "405-947-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.