MEDICARE: DR. STEPHEN JAY SMOLINS 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	2328	TX

General Provider Information

NPI Number	:	1811051451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN JAY SMOLINS O.D.

Provider Business Mailing Address
First Line	:	701 SHARPSTOWN CTR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-5047
Country	:	US
Telephone Number	:	713-981-6021
Fax Number	:	713-988-8741

Provider Business Practice Location Address
First Line	:	701 SHARPSTOWN CTR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-5047
Country	:	US
Telephone Number	:	713-981-6021
Fax Number	:	713-988-8741

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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