Individual
MR. RANDY D SMART JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC, NCLEC, RDO
Contact information
Practice address
3840 BROAD ST STE 5, SAN LUIS OBISPO, CA 93401-7186
(805) 787-0182
(805) 787-0150
Mailing address
3840 BROAD ST STE 5, SAN LUIS OBISPO, CA 93401-7186
(805) 215-8571
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
CA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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