MEDICARE: DR. BETH ANN PYLE-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	873	AZ

General Provider Information

NPI Number	:	1194728485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETH ANN PYLE-SMITH O.D.

Provider Business Mailing Address
First Line	:	13065 W MCDOWELL RD
Second Line	:	STE B105
City	:	AVONDALE
State	:	AZ
Zip	:	85323-6442
Country	:	US
Telephone Number	:	623-845-1400
Fax Number	:	623-845-1401

Provider Business Practice Location Address
First Line	:	13065 W MCDOWELL RD
Second Line	:	STE B105
City	:	AVONDALE
State	:	AZ
Zip	:	85323-6442
Country	:	US
Telephone Number	:	623-845-1400
Fax Number	:	623-845-1401

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/31/2012

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