Organization
VIVIEN M SMITH OD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIEN MARY SMITH OD (OWNER OPTOMETRIST)
(859) 224-8083
Entity
Organization
Contact information
Practice address
3735 PALOMAR CENTER DRIVE, SUITE 45, LEXINGTON, KY 40513-1147
(859) 224-8083
(859) 223-2913
Mailing address
3735 PALOMAR CENTER DRIVE, SUITE 45, LEXINGTON, KY 40513-1147
(859) 224-8083
(859) 223-2913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1223DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77012235
—
KY
Enumeration date
08/18/2006
Last updated
12/03/2007
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