Organization
LOUISVILLE OPTIQUE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DAMON SMITH OD (PRESIDENT)
(502) 587-8696
Entity
Organization
Contact information
Practice address
140 W MARKET ST, LOUISVILLE, KY 40202-1332
(502) 587-8696
(502) 587-8165
Mailing address
140 W MARKET ST, LOUISVILLE, KY 40202-1332
(502) 587-8696
(502) 587-8165
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198613
ANTHEM LOCATION
KY
01
—
017121
PASSPORT BLOCK VISION
KY
01
—
10670
CVC LOCATION
KY
01
—
13407
SPECTERA
KY
01
—
16711
AVESIS
KY
01
—
22 00155
UNITED HEALTH CARE
KY
01
—
2667754
AETNA
KY
05
—
77903417
—
KY
01
—
7989966
CIGNA
KY
01
—
OP1650
EYEMED
KY
Enumeration date
06/01/2005
Last updated
10/15/2007
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