DR. EDDIE ALAN SMITH (NPI# 1104828946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104828946 |
| Entity Type | Individual |
| Full Name | DR. EDDIE ALAN SMITH |
| Credential | O.D. |
| Practice Address |
617 S Main St Stillwater OK 74074-4060 |
| Practice Telephone | 4053727337 |
| Practice Fax Number | 4053727337 |
| Mailing Telephone | 4053727337 |
| Mailing Fax Number | 4053727339 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2017-09-14 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1168 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1000763810A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659876621 | Eddie R Smith | Physical Therapist | 1628 W Central Rd Ste 2, Arlington Heights, IL 60005-2407 | 2018-03-29 |
| 1700908241 | Eddie M Smith | General Practice | 103 Picciola Pkwy, Cut Off, LA 70345-3572 | 2007-04-04 |
| 1881741635 | Eddie Smith | Nurse Anesthetist, Certified Registered | 1114 Ferry Rd, Ozark, AR 72949-2591 | 2007-01-04 |
| 1710958681 | Eddie Smith | Family Medicine | 13609 Carrollton Blvd, Carrollton, VA 23314-3214 | 2006-01-30 |
| 1740833706 | Eddie Smith | Pharmacist | 5605 Colleyville Blvd, Colleyville, TX 76034-6022 | 2019-07-18 |
| 1669620894 | Eddie Buller Smith | Speech-Language Pathologist | 216 N John Redditt Dr, Lufkin, TX 75904-2620 | 2008-08-29 |
| Street Address |
617 S MAIN ST |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-4060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801004775 | Adams Vision Center, Inc. | Optometrist | 617 S Main St, Stillwater, OK 74074-4060 | 2007-05-21 |
| 1689887994 | Dr. Eddie Alan Smith Pllc | Optometrist | 617 S Main St, Stillwater, OK 74074-4060 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1558723411 | Mjh LLC | Optometrist | 1903 Greeley St S, Stillwater, MN 55082-6012 | 2016-03-22 |
| 1306978044 | Cockrell Eyecare Center | Optometrist | 1711 W 6th, Stillwater, OK 74074-4200 | 2007-03-09 |
| 1891881512 | Wendy Seyller | Optometrist | 13481 60th St N Suite 200, St Croix Vision Center, Stillwater, MN 55082 | 2006-10-04 |
| 1699706515 | Kristel Ann Rogers | Optometrist | 1719 Tower Dr W Ste 100, Stillwater, MN 55082-7512 | 2006-07-06 |
| 1649211301 | Brian R Gumm | Optometrist | 2123 W 6th Ave, Stillwater, OK 74074-4136 | 2006-06-10 |
| 1902878127 | Robert Craig Hochhalter | Optometrist | 6303 Osgood Ave N, Stillwater, MN 55082-6101 | 2006-02-02 |
| 1073597670 | Angela P. Johnson | Optometrist | 13481 60th St N, Suite 200, Stillwater, MN 55082-1055 | 2005-12-06 |
| 1720070253 | Monty Larue Snowden | Optometrist | 420 S Knoblock St, Stillwater, OK 74074-3024 | 2005-08-19 |
| 1295737872 | David A Cockrell | Optometrist | 1711 W 6th Ave, Stillwater, OK 74074-4200 | 2005-08-12 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.