Provider Demographics
NPI:1831127661
Name:SMITH, FRANCIS EDWARD (OD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:EDWARD
Last Name:SMITH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:F E
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:F E SMITH OD
Mailing Address - Street 1:PO BOX 1045
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74502
Mailing Address - Country:US
Mailing Address - Phone:918-423-3043
Mailing Address - Fax:918-420-5705
Practice Address - Street 1:401 EAST CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501
Practice Address - Country:US
Practice Address - Phone:918-423-3043
Practice Address - Fax:918-420-5705
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK883152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731097924001OtherBLUE CROSS
OKT40654Medicare UPIN