# DAVID R SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104874627
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 350601885 | OH | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 10/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000118426 | ANTHEM | OH |
| 01 | — | 0751002 | PALMETTO MEDICARE | — |
| 01 | — | 0800476 | UHC | — |
| 05 | — | 0974549 | — | OH |
| 01 | — | 180018458 | TRAVELERS MEDICARE | — |
| 01 | — | 353077 | SUBMITTER NO | — |
| 01 | — | 650180 | AETNA | — |