Organization
ROB SMITH
Active
Other names
Shallcross Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB K SMITH (OWNER)
(810) 982-4451
Entity
Organization
Contact information
Practice address
736 LAPEER AVE, PORT HURON, MI 48060-4410
(810) 982-4451
(810) 982-8539
Mailing address
736 LAPEER AVE, PORT HURON, MI 48060-4410
(810) 982-4451
(810) 982-8539
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540G410540
BCBS
MI
Enumeration date
02/22/2008
Last updated
07/24/2008
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