Individual
KEITH SMITHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001041
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009232231
—
VA
01
—
2663321
AETNA HMO
VA
01
—
295571
MAMSI/ALLIANCE
VA
01
—
383934
ANTHEM BCBS/RESTON
VA
01
—
383935
ANTHEM BCBS/ALEXANDRIA
VA
01
—
7671300
AETNA PPO
VA
01
—
9314-0007
BCBS/CAREFIRST
VA
Enumeration date
08/03/2006
Last updated
07/08/2007
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