Individual
SAMUEL C SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF OPTOMETRY
Contact information
Practice address
230 BUTLER ROAD, FREDERICKSBURG, VA 22405
(540) 373-3021
(540) 373-5565
Mailing address
230 BUTLER ROAD, FREDERICKSBURG, VA 22405
(540) 373-3021
(540) 373-5565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000130
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015625
ANTBCBS
VA
Enumeration date
11/02/2006
Last updated
12/18/2013
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