JOHN O SMITH OPTOMETRIST (NPI# 1023155983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023155983 |
| Entity Type | Organization |
| Organization Name | JOHN O SMITH OPTOMETRIST |
| Practice Address |
1201 S Main St Hennessey OK 73742-1744 |
| Practice Telephone | 4058536800 |
| Mailing Telephone | 4058536800 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-10-10 |
| NPI Deactivation Date | 06/05/2007 |
| NPI Reactivation Date | 2008-03-10 |
| Authorized Official Name | DR. JOHN O SMITH (OWNER) |
| Authorized Official Telephone | 4058536800 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1014 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RETIRED RAILROAD MEDICARE | 1043277791 | 01 |
| OK | 100763790A | 05 |
| Street Address |
1201 S MAIN ST |
| City | HENNESSEY |
| State | OK |
| Zip Code | 73742-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426208 | Dr John O Smith Optometrist PC | Eyewear Supplier (Equipment, not the service) | 1201 S Main St, Hennessey, OK 73742-1744 | 2013-06-06 |
| 1043277791 | John O. Smith | Optometrist | 1201 S Main St, Hennessey, OK 73742-1744 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609109735 | Krablin Medical Clinic of Hennessey PC | Internal Medicine | 522 N. Main, Hennessey, OK 73742 | 2009-09-08 |
| 1669561379 | Tabatha J Scott | Speech-Language Pathologist | Rt 2 Box 97, Hennessey, OK 73742 | 2006-10-12 |
| 1487873360 | Karen Cox Haymaker | Dentist | 701 S Main, Hennessey, OK 73742 | 2007-04-25 |
| 1447568746 | Healthy Families Dental Clinic, P.l.l.c. | Dentist | 500 N Main St, Hennessey, OK 73742-1019 | 2010-09-21 |
| 1396987707 | Healthy Families Medical Clinic | Family Medicine | 500 N Main St, Hennessey, OK 73742-1019 | 2009-03-31 |
| 1427256106 | Charles William Ferrell | Family Medicine | 500 N Main St, Hennessey, OK 73742-1019 | 2007-07-05 |
| 1861529224 | Anna Lea Ferrell | Dentist | 500 N Main St, Hennessey, OK 73742-1019 | 2007-02-27 |
| 1124036744 | Lora May Vaverka | Nurse Practitioner | 500 N Main St, Hennessey, OK 73742-1019 | 2006-08-03 |
| 1548509615 | Heritage Pharmacy LLC | Pharmacy | 529 N Main St, Hennessey, OK 73742-1033 | 2013-02-08 |
| 1033561659 | Dielrx LLC | Pharmacy | 529 N Main St, Hennessey, OK 73742-1033 | 2016-07-07 |
| Find all providers in zip 73742 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426208 | Dr John O Smith Optometrist PC | Eyewear Supplier (Equipment, not the service) | 1201 S Main St, Hennessey, OK 73742-1744 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172670 | Total Vision Care LLC | Eyewear Supplier (Equipment, not the service) | 10001 S Western Ave Ste 200, Oklahoma City, OK 73139-2997 | 2020-10-21 |
| 1932755733 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1932 N Perkins Rd, Stillwater, OK 74075-2978 | 2019-08-16 |
| 1396303855 | Nu Eyes of Florida Inc. | Eyewear Supplier (Equipment, not the service) | 1705 N 18th St, Broken Arrow, OK 74012-9357 | 2019-05-30 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1164930723 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 5840 N Classen Blvd, Oklahoma City, OK 73118-1211 | 2018-01-17 |
| 1316464407 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3 Nw 9th St, Oklahoma City, OK 73102-5806 | 2017-08-29 |
| 1740735125 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 705 Sw 19th St, Ste 160, Moore, OK 73160-3049 | 2016-08-16 |
| 1548647159 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10220 S. Memorial Drive, Tulsa, OK 74133 | 2015-05-04 |
| 1649667304 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 3360 N Ave, Bldg. 685, Tinker Afb, OK 73145-9028 | 2015-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.