Smith, John O.
Smith, John O. is an sole proprietor health care provider with primary practice located at 1201 S Main St , Hennessey OK 73742-1744. He recently has 8 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Smith, John O. can be contacted via phone (405) 853-6800.Contact Information
Primary practice address
1201 S Main St
Hennessey OK 73742-1744
Phone: (405) 853-6800
Fax: (405) 853-6805
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1014 | Oklahoma |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1014 | Oklahoma |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1014 | Oklahoma |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1014 | Oklahoma |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1014 | Oklahoma |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1014 | Oklahoma |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 1014 | Oklahoma |
Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 1014 | Oklahoma |
Profile Details
NPI number | 1043277791 |
---|---|
LBN Legal business name | Smith, John O. |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 27th, 2006 |
Last updated | Mar 3rd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043277791 | NPPES |
Oklahoma | Other | 731129821001 | BCBS PAYER ID |
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