Doctor Name: | GERALD W SMITH |
NPI Number: | 1043362882 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | MS1246897 |
Business Practice Address: | 15446 Bel Red Rd Redmond, WA - 980525501 |
Business Phone Number: | 4258835320 |
Business Fax Number: | |
Mailing Address: | Po Box 34584, SEATTLE |
State: | WA |
Postal Code: | 981241584 |
Phone Number: | 5092417349 |
Fax Number: | 5092417628 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | MS1246897 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |