Whalio Doctors

NPI 1104828946

Eddie Alan Smith, OD

Practitioner Optometrist Stillwater, OK

Practice location

Address
617 S Main St, Stillwater, OK 74074-4060
Phone
(405) 372-7337
Fax
(405) 372-7337

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1168 (OK)

Registry record

NPI
1104828946
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2005
Record last updated
14 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.