Organization
262 EYES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C SMITH OD (OPTOMETRIST)
(262) 352-2560
Entity
Organization
Contact information
Practice address
5701 N LYDELL AVE, GLENDALE, WI 53217-4537
(414) 516-1238
(414) 246-1989
Mailing address
2249 S ALDRICH ST, MILWAUKEE, WI 53207-1303
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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