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: DR. JEDIDIAH DAVID SMITH O.D.

MEDICARE: DR. JEDIDIAH DAVID 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
1152W00000XOptometrist046010703IL
2152W00000XOptometrist9488924-9934UT

General Provider Information

NPI Number : 1649603572
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEDIDIAH DAVID SMITH O.D.
Provider Business Mailing Address
First Line : 1945 E BRANDON PARK WAY
Second Line :
City : SANDY
State : UT
Zip : 84092-5234
Country : US
Telephone Number : 801-842-1728
Fax Number :
Provider Business Practice Location Address
First Line : 1818 S 300 W
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-1805
Country : US
Telephone Number : 801-485-9715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2013
Last Update Date : 06/29/2016

Similar Medicare Providers

1821076555 — NATHAN RAY GREEN O.D.
Practice Location Address:
1818 S 300 W
SALT LAKE CITY, UT
84115-1805
Practice Phone: 801-485-9757
Practice Fax:
1477735710 — NATHAN GREEN O.D., P.C.
Practice Location Address:
1818 S 300 W
SALT LAKE CITY, UT
84115-1805
Practice Phone: 801-485-9757
Practice Fax: 801-485-8867
1780975649 — JOHN HEATH R.PH.
Practice Location Address:
1818 S 300 W
SALT LAKE CITY, UT
84115-1805
Practice Phone: 801-485-9885
Practice Fax:
1285025569 — COSTCO WHOLESALE CORPORATION
Practice Location Address:
1818 S 300 W
SALT LAKE CITY, UT
84115-1805
Practice Phone: 801-485-9715
Practice Fax: 801-485-8385
1427442037 — COSTCO WHOLESALE CORPORATION
Practice Location Address:
1818 S 300 W
SALT LAKE CITY, UT
84115-1805
Practice Phone: 801-401-1060
Practice Fax: 801-401-1061
1972022275 — DR. JULIE PHAN PHARMD
Practice Location Address:
1818 S 300 W
SALT LAKE CITY, UT
84115-1805
Practice Phone: 801-485-9885
Practice Fax:

Directions to “ DR. JEDIDIAH DAVID SMITH O.D.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.