Organization
414 EYES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE FAN SMITH OD (OPTOMETRIST)
(504) 495-3887
Entity
Organization
Contact information
Practice address
3925 S 76TH ST, MILWAUKEE, WI 53220-2320
(414) 543-2900
Mailing address
2249 S ALDRICH ST, MILWAUKEE, WI 53207-1303
(504) 495-3887
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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