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Individual
DR. MICHAEL L SMOOKLER
Active
Individual
DR. MICHAEL L SMOOKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
3546
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391921
—
MA
01
—
152798
HARVARD HEALTH PLAN
MA
01
—
732742
TUFTS HEALTH PLAN
MA
01
—
W25180
BLUE CROSS BLUE
MA
Enumeration date
02/21/2007
Last updated
07/08/2007
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