Organization
BAXTER J. SMITH JR., OD, PA
Active
Other names
HealthDrive Eye Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAXTER J. SMITH JR. OD (PRESIDENT)
(857) 255-0486
Entity
Organization
Contact information
Practice address
5960 FAIRVIEW RD STE 300, CHARLOTTE, NC 28210-0202
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD STE 300, FRAMINGHAM, MA 01702-5555
(888) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
858
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909846
—
NC
Enumeration date
06/17/2007
Last updated
07/14/2021
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