Charles D Smith, OD | |
1327 Troup Hwy, Tyler, TX 75701-4443 | |
(903) 531-4733 | |
Not Available |
Full Name | Charles D Smith |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 14 Years |
Location | 1327 Troup Hwy, Tyler, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225342074 | NPI | - | NPPES |
TIN PLUS 015 | Other | TX | TRICARE JV LOCATION |
216828801 | Medicaid | TX | |
75-2616977-028 | Other | TX | TRICARE |
82831Q | Other | TX | BCBS |
752616977-021 | Other | TX | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 7613T (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Provider Name | Christus Trinity Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Mailing Address | Practice Location Address |
---|---|
Charles D Smith, OD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Charles D Smith, OD 1327 Troup Hwy, Tyler, TX 75701-4443 Ph: (903) 531-4733 |
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