# DR. MICHAEL L SMOOKLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891820049
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WV0400X | Vision Therapy Optometrist | 3546 | MA | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 07/08/2007

## 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 |