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General NPI Number Information
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NPI Number | 1316940661
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Entity Type | Individual
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Provider Name | DANIELLE R. SMITH O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 64 HAGER ST
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City | BUFFALO
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State | NY
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Zip | 14208-1327
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Country | US
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Telephone | 212-764-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 267 BROADWAY FL 2
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City | BROOKLYN
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State | NY
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Zip | 11211-6216
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Country | US
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Telephone | 212-764-0008
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Fax | 585-786-3699
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | VUT006402
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License Number State | NY
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