Organization
DR CHRISTOPHER D SMITH & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DAVID SMITH OD (OWNER)
(920) 562-7383
Entity
Organization
Contact information
Practice address
2665 MONROE RD STE 100, DE PERE, WI 54115-9287
(920) 562-7383
Mailing address
3397 CARTER LN, DE PERE, WI 54115-8777
(920) 562-7383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38622300
—
WI
Enumeration date
11/12/2019
Last updated
11/12/2019
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