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Deactivated NPI 1124231287 Deactivated / Inactive NPI Male Practitioner

Mack Smith , O, D

Optometrist • Pawnee, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mack Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 07, 2007
NPI Deactivation Date January 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Mack Smith, O, D was a registered Optometrist practicing in Pawnee, OK. Throughout an active medical career spanning 15 years, Mack Smith provided care at the practice location at 534 ILLINOIS ST until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

534 Illinois St

Pawnee, OK 740582036

Telephone 9187622573
Associated Practice Facility / Clinic
🏢 Cockrell Eyecare Center Facility NPI 1225158314

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pawnee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Pawnee, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 705

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Gordon Laird , DO

Family Medicine

NPI 1619954088

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 534 ILLINOIS ST, PAWNEE, OK 740582036 (Tel: 9187622573)

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Updated Business Mailing Address July 08, 2007

Registered at 48701 S 349 RD, PAWNEE, OK 740584935 (Tel: 9187623947)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MACK SMITH, O,D,

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #705 in OK)

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Initial NPI Registration & Enumeration May 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124231287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

48701 S 349 Rd

Pawnee, OK 740584935

Phone: 9187623947

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.