Individual
DR. SCOTT EDWARD SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
83 THE PLAZA, TROY, MO 63379-1365
(636) 462-3958
(636) 445-8056
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 445-8056
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005019135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11505611
CAQH PROVIDER ID
—
05
—
1174534879
—
MO
05
—
317177806
—
MO
Enumeration date
08/10/2006
Last updated
07/09/2025
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