Individual
DR. ROBERT E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5615 PERSHING AVE, DEPT OPHTHALMOLOGY, STE 27, SAINT LOUIS, MO 63112-1701
(314) 367-7077
(314) 361-1528
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 367-7077
(314) 361-1528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318511417
—
MO
Enumeration date
11/02/2005
Last updated
04/17/2025
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