Individual
MIKE SMILIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
3221 W KENNEWICK AVE, KENNEWICK, WA 99336-2919
(509) 783-3986
(509) 736-3918
Mailing address
3221 W KENNEWICK AVE, KENNEWICK, WA 99336-2919
(509) 783-3986
(509) 736-3918
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 1531
WA
Other
Enumeration date
06/15/2007
Last updated
10/21/2008
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