Individual
DR. MICHELLE LYNN SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1515 K ST, BEDFORD, IN 47421-3723
(812) 675-4199
(812) 675-0301
Mailing address
1515 K ST, BEDFORD, IN 47421-3723
(812) 675-4199
(812) 675-0301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003555A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200936530
—
IN
Enumeration date
12/08/2008
Last updated
05/19/2015
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