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Individual
DR. TODD RIPLEY SMITH
Active
Individual
DR. TODD RIPLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4713T
TX
152W00000X
Optometrist
4713TG
TX
332H00000X
Eyewear Supplier
4713TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E34Z
BCBS
TX
05
—
113303501
—
TX
01
—
1219280001
PALMETTO GBA DMERC
TX
01
—
410038613
RAILROAD MEDICARE
TX
Enumeration date
10/04/2006
Last updated
10/17/2024
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