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NPI Code Detail

MEDICARE: DR. KAY L SMARZINSKI O.D.

MEDICARE: DR. KAY L SMARZINSKI 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
1152W00000XOptometrist1492AZ
2152W00000XOptometrist12568CA

General Provider Information

NPI Number : 1609810290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAY L SMARZINSKI O.D.
Provider Business Mailing Address
First Line : 3425 E CHANDLER BLVD APT 121
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-5839
Country : US
Telephone Number : 650-930-0119
Fax Number :
Provider Business Practice Location Address
First Line : 38069 MARTHA AVE
Second Line : SUITE 200
City : FREMONT
State : CA
Zip : 94536-3811
Country : US
Telephone Number : 510-791-5272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 06/21/2020

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