Classic Vision

LBN: Jacob T Smith Od Pllc
Classic Vision is an health care organization with primary practice located at 3720 W Robinson St Ste 118, Norman OK 73072-3640. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jacob T Smith Od Pllc can be contacted via phone (405) 447-5001, or through Smith, Jacob Tyler via phone (405) 447-5001.

Contact Information

Primary practice address
3720 W Robinson St Ste 118 Norman OK 73072-3640
Phone: (405) 447-5001
Fax: (405) 447-4680
Website:
Map and Directions
Authorized official contact:
Name: Smith, Jacob Tyler Doctor of Optometry (OD)
Phone: (405) 447-5001

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2503 Oklahoma

Profile Details

NPI number 1588807028
LBN Legal business name Jacob T Smith Od Pllc
DBA Doing business as Classic Vision
Authorized official Smith, Jacob Tyler Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2009
Last updated Dec 1st, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588807028 NPPES
Oklahoma Other B5591 GROUP PTAN
Oklahoma MEDICAID 200112670A GROUP PTAN

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