Dr. Eddie Alan Smith PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1168 Issued in OK

Legal business name

DR. EDDIE ALAN SMITH PLLC

Practice address

617 S Main St
Stillwater, OK 74074-4060

Phone

(405) 372-7337

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eddie Alan Smith, O.D.

Title

President

Phone

(405) 372-7337

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1689887994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744060",
            "telephone_number": "405-372-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744060",
            "telephone_number": "405-372-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDDIE ALAN SMITH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-372-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763810A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1104828946",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Jayne Dominguez
• Amanda Emily Dotson
• Charles William Dotson
• Victoria Dotter
• Shanna Lynn Douglass, APRN-CNP
• Garry Ian Drake
• Ryane Draper
• Erika Driver
• Drummond Eye Clinic, P.C.
• Drummond Optical, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.