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Organization
TIFFANY SMART, O.D.
Active
Organization
TIFFANY SMART, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY TYLER SMART O.D. (DOCTOR)
(805) 772-1269
Entity
Organization
Contact information
Practice address
590 HARBOR ST, MORRO BAY, CA 93442-1904
(805) 772-1269
(805) 772-2172
Mailing address
590 HARBOR ST, MORRO BAY, CA 93442-1904
(805) 772-1269
(805) 772-2172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0126470
—
CA
Enumeration date
01/14/2009
Last updated
01/14/2009
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