Individual
DR. MICHAEL THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1107 SW GAGE BLVD., TOPEKA, KS 66604
(785) 271-8989
Mailing address
1107 SW GAGE BLVD., TOPEKA, KS 66604
(785) 271-8989
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1230-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043316
BCBS
KS
01
—
CI4708
RAILROAD MEDICARE GROUP
KS
Enumeration date
09/28/2006
Last updated
02/01/2008
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