Doctor Name: | DR. ELVEN CONRAD SMITH |
NPI Number: | 1215974548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 1182 |
Business Practice Address: | 720 E Us Highway 74 Ste A Rockingham, NC - 283797524 |
Business Phone Number: | 9102052020 |
Business Fax Number: | 9105822030 |
Mailing Address: | 1502 E Broad Ave, Ste A ROCKINGHAM |
State: | NC |
Postal Code: | 283794908 |
Phone Number: | 9109977737 |
Fax Number: | 9109977058 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WL0500X |
License Number: | 1182 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Low Vision Rehabilitation |
Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |