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Individual

DARREN SCOTT SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
500 W BROADWAY ST, LAWRENCEBURG, KY 40342-1306
(502) 839-5113
(502) 839-9831
Mailing address
PO BOX 168, LAWRENCEBURG, KY 40342-0168
(502) 839-5113
(502) 839-9831

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1390DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000217614
ANTHEM BC/BS
KY
01
1169150
CHA
KY
01
5089659
AETNA
KY
05
77013902
KY
01
9038878
CIGNA
KY
01
P00204906
RAILROAD MEDICARE
KY
Enumeration date
08/17/2006
Last updated
09/17/2012
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