Individual
KIRK L SMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 CORPORATE CENTER DRIVE, SUITE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Mailing address
1000 CORPORATE CENTER DRIVE, STE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000737
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004683D
—
GA
01
—
406540201
RAILROAD MEDICARE
GA
Enumeration date
09/12/2005
Last updated
11/12/2008
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