| NPI | 1588019434 |
|---|---|
| Former Name | MELISSA SUE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003213) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2487) |
| 152W00000X Optometrist (Licence: FL OPC005129) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2021-02-17 |