Individual
DR. ANDREW TIMOTHY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2230 N UNIVERSITY PKWY STE 10A, PROVO, UT 84604-1594
(801) 373-4550
Mailing address
1896 E 280 S, SPANISH FORK, UT 84660-5834
(208) 850-3715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10370070-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
10370070-9934
UT
152WP0200X
Pediatric Optometrist
10370070-9934
UT
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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