NPI | 1275815359 |
---|---|
Former Name | ALLISON D SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60843017) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1374) |
152W00000X Optometrist (Licence: KS 1902) | |
152W00000X Optometrist (Licence: IA 002534) | |
Enumeration Date | 2011-09-14 |
Last Update Date | 2023-03-30 |