Individual
KORA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5319 S EMERSON AVE, INDIANAPOLIS, IN 46237-1969
(317) 783-8700
(317) 783-5987
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-0760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004115
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017948
—
IN
Enumeration date
07/03/2018
Last updated
02/04/2021
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