Organization
SMITH EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD P SMITH OD (OWNER)
(601) 833-4431
Entity
Organization
Contact information
Practice address
211 N WHITWORTH AVE, BROOKHAVEN, MS 39601-3051
(601) 833-4431
(601) 833-1007
Mailing address
211 N WHITWORTH AVE, BROOKHAVEN, MS 39601-3051
(601) 833-4431
(601) 833-1007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
449
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00089225
—
MS
Enumeration date
07/14/2008
Last updated
07/01/2021
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