DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DAVID KEVIN SMITH LDO

MEDICARE:   DAVID KEVIN SMITH  LDO
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
1156FX1800XOpticianDO5926FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295212959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID KEVIN SMITH LDO
Provider Business Mailing Address
First Line : 4359 35TH ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33714-3717
Country : US
Telephone Number : 727-914-8615
Fax Number : 727-914-8610
Provider Business Practice Location Address
First Line : 10041 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-3785
Country : US
Telephone Number : 727-848-0870
Fax Number : 727-857-4365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2018
Last Update Date : 07/25/2018

Similar Medicare Providers

1164727434 — JAMES PAGANO OPTICIAN
Practice Location Address:
10041 US HIGHWAY 19 STE A
PORT RICHEY, FL
34668-3785
Practice Phone: 727-868-0780
Practice Fax:
1801169586 — SCOTT D. CLOUGH, OD , PA
Practice Location Address:
10041 US HIGHWAY 19 STE A
PORT RICHEY, FL
34668-3785
Practice Phone: 727-859-9009
Practice Fax: 727-868-0819
1003344359 — DR. VINCENT MICHAEL FERLITA OD
Practice Location Address:
10041 US HIGHWAY 19 STE A
PORT RICHEY, FL
34668-3785
Practice Phone: 727-868-0780
Practice Fax:
1902408370 — HARRIET JOECKEL
Practice Location Address:
10041 US HIGHWAY 19 STE A
PORT RICHEY, FL
34668-3785
Practice Phone: 727-868-0780
Practice Fax: 727-857-4365
1336850270 — SOUTHEAST EYE INSTITUTE, PA
Practice Location Address:
10041 US HIGHWAY 19 STE A
PORT RICHEY, FL
34668-3785
Practice Phone: 727-868-0780
Practice Fax:
1467134080 — VICTORIA ANNETTE TIPPERY
Practice Location Address:
3785 WESTMINSTER DR SE
PORT ORCHARD, WA
98366-5849
Practice Phone: 503-338-8953
Practice Fax:

Directions to “ DAVID KEVIN SMITH LDO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.