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Individual

DR. DAVID LENAURD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
231 N COURT ST, CIRCLEVILLE, OH 43113-1607
(740) 474-7551
(740) 474-7552
Mailing address
231 N COURT ST, CIRCLEVILLE, OH 43113-1607
(740) 474-7551
(740) 474-7552

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2782-658
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0074575
OH
01
0442190001
MEDICARE SUPPLIER NO.
OH
Enumeration date
06/30/2006
Last updated
12/17/2013
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