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Individual

DR. ALAN RICHARD SMITH

Active
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Individual

DR. ALAN RICHARD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-1060
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148906
REGENCE
ID
01
—
15392
SPECTERA
ID
01
—
V5228
BLUE CROSS
ID
Enumeration date
08/22/2006
Last updated
07/08/2007
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