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NPI Code Detail

MEDICARE: DR. DAVID P SMITH O.D.

MEDICARE:  DR. DAVID P 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
1152W00000XOptometrist0128NV

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 : 1861484347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID P SMITH O.D.
Provider Business Mailing Address
First Line : 1485 W WARM SPRINGS RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7632
Country : US
Telephone Number : 702-433-1102
Fax Number : 702-433-1916
Provider Business Practice Location Address
First Line : 1485 W WARM SPRINGS RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7632
Country : US
Telephone Number : 702-433-1102
Fax Number : 702-433-1916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/30/2012

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Directions to “ DR. DAVID P SMITH O.D.” Practice Location

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