R. Kirk Smithhart, O.D. INC.
Optometrist in Jackson, MS. Organization (NPI-2).
NPI number1174889067
StatusActive
Last updated in NPPESOct 23, 2012
Details
- NPI
- 1174889067
- Entity type
- Organization (NPI-2)
- Legal business name
- R. Kirk Smithhart, O.D. INC.
- Organization subpart
- No
- Enumeration date
- Apr 5, 2012
- Last updated
- Oct 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 476 | MS | Yes |
Practice location
500k E Woodrow Wilson AveJackson, MS 39216-4538
Phone 601-366-4221 · Fax 601-362-3153
Mailing address
500k E Woodrow Wilson AveJackson, MS 39216-4538
Phone 601-366-4221 · Fax 601-362-3153
Authorized official
R Kirk Smithhart
Doctor
6013664221
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