MEDICARE: CHRIS A. SMILEY, O.D. AND ASSOCIATES, LLC

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	5241	OH

General Provider Information

NPI Number	:	1972776870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRIS A. SMILEY, O.D. AND ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	730 MOUNT AIRYSHIRE BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1364
Country	:	US
Telephone Number	:	614-880-2020
Fax Number	:	614-846-8577

Provider Business Practice Location Address
First Line	:	730 MOUNT AIRYSHIRE BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1364
Country	:	US
Telephone Number	:	614-880-2020
Fax Number	:	614-846-8577

Authorized Official
Title or Position	:	OWNER
Name	:	CHRIS A SMILEY
Credential	:	O.D.
Telephone Number	:	614-846-7574

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	03/09/2023

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