Individual
DR. DANIEL ERIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
30952 S INDIAN HILLS RD, OSAGE CITY, KS 66523-9089
(785) 979-1570
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14433
KS
152W00000X
Optometrist
2824
TN
152W00000X
Optometrist
2965
CO
152WP0200X
Pediatric Optometrist
2965
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510319
—
TN
01
—
2824
TN
TN
01
—
2965
OPTOMETRY LICENSE
CO
01
—
MS0128555
DEA
TN
Enumeration date
05/19/2006
Last updated
03/01/2024
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