Individual
JANNA SUZETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
110 MATHIS DRIVE, SUITE 108, DICKSON, TN 37055
(615) 446-8089
(615) 441-3135
Mailing address
110 MATHIS DR, SUITE 108, DICKSON, TN 37055-2000
(615) 446-8089
(615) 441-3135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2172
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083607279
INDIVIDUAL NPI #
TN
01
—
2172
OD
TN
05
—
3944408
—
TN
Enumeration date
08/24/2005
Last updated
03/07/2023
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