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General NPI Number Information
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NPI Number | 1609810290
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Entity Type | Individual
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Provider Name | KAY L SMARZINSKI O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 06/21/2020
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Provider Practice Location Address
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Address Line | 38069 MARTHA AVE SUITE 200
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City | FREMONT
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State | CA
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Zip | 94536-3811
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Country | US
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Telephone | 510-791-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 E CHANDLER BLVD APT 121
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City | PHOENIX
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State | AZ
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Zip | 85048-5839
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Country | US
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Telephone | 650-930-0119
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Fax |
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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 | 1492
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12568
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License Number State | CA
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