Smythe, Penny B
Smythe, Penny B is an individual health care provider with primary practice located at 1157 N York St , Muskogee OK 74403-2520. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Smythe, Penny B can be contacted via phone (918) 683-8404.Contact Information
Primary practice address
1157 N York St
Muskogee OK 74403-2520
Phone: (918) 683-8404
Fax: (918) 687-4469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2083 | Oklahoma |
Profile Details
| NPI number | 1124009428 |
|---|---|
| LBN Legal business name | Smythe, Penny B |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124009428 | NPPES |
| Oklahoma | MEDICAID | 100759680C | |
| Oklahoma | Other | 731125139 |
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