Healthcare Provider Details

I. General information

NPI: 1114906427
Provider Name (Legal Business Name): CONNER SMITH EYE CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 W TIPTON ST
SEYMOUR IN
47274-2157
US

IV. Provider business mailing address

707 W TIPTON ST
SEYMOUR IN
47274-2157
US

V. Phone/Fax

Practice location:
  • Phone: 812-524-3937
  • Fax: 812-524-8647
Mailing address:
  • Phone: 812-524-3937
  • Fax: 812-524-8647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number50002763A
License Number StateIN

VIII. Authorized Official

Name: DR. CHRISTOPHER J LAMBRING
Title or Position: PRESIDENT
Credential: OD
Phone: 812-524-3937