Individual
DR. ELIZABETH BLADEK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
850 HARTFORD TPKE, WATERFORD, CT 06385-4238
(860) 443-2414
(860) 444-0371
Mailing address
850 HARTFORD TPKE, WATERFORD, CT 06385-4238
(860) 443-2414
(860) 444-0371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT2325
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002325CT03
ANTHEM BLUE CROSS
CT
01
—
CT2325
EYEMED VISION PLAN
CT
Enumeration date
07/27/2006
Last updated
07/08/2007
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