# DANIEL B. SMITH, AN OPTOMETRY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720729296
- **Authorized official:** LAURA BASILE (MANAGER OF OPEN DOCTOR PANEL)
- **Authorized official phone:** (516) 243-8708

## Contact information

- **Practice address:** 800 W PRIEN LAKE RD STE 400, LAKE CHARLES, LA 70601-9124
- **Practice address phone:** (337) 502-4550
- **Mailing address:** 1979 MARCUS AVE STE 206, NEW HYDE PARK, NY 11042-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2022
- **Last updated:** 04/06/2022