MEDICARE: DR. DANIELLE R. SMITH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	VUT006402	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316940661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE R. SMITH O.D.

Provider Business Mailing Address
First Line	:	267 BROADWAY FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-6216
Country	:	US
Telephone Number	:	212-764-0008
Fax Number	:	585-786-3699

Provider Business Practice Location Address
First Line	:	64 HAGER ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14208-1327
Country	:	US
Telephone Number	:	212-764-0008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/04/2021

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