NPI | 1831202076 |
---|---|
Other Name | TODD FREEMAN SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000849) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011484) |
152W00000X Optometrist (Licence: MD TA2729) | |
152W00000X Optometrist (Licence: FL TPOP20) | |
152W00000X Optometrist (Licence: NJ 27OA00709800) | |
152W00000X Optometrist (Licence: MO 2020006059) | |
152W00000X Optometrist (Licence: GA OPT003290) | |
Enumeration Date | 2006-08-15 |
Last Update Date | 2025-03-14 |