Individual
ALEXIS WILLIAMS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
2405 WINDSOR AVE SW, ROANOKE, VA 24015-2224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003060
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
01/09/2024
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