Individual
DAVID R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 LEXINGTON BLVD, DELAWARE, OH 43015-1047
(740) 363-3230
(740) 368-7185
Mailing address
# L-3549, COLUMBUS, OH 43260-0001
(740) 363-9021
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
350601885
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118426
ANTHEM
OH
01
—
0751002
PALMETTO MEDICARE
—
01
—
0800476
UHC
—
05
—
0974549
—
OH
01
—
180018458
TRAVELERS MEDICARE
—
01
—
353077
SUBMITTER NO
—
01
—
650180
AETNA
—
Enumeration date
05/05/2006
Last updated
10/07/2014
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