Individual
STEVEN ALAN SMOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 E FRONT ST, STE A, BUCHANAN, MI 49107-1403
(269) 695-3434
(269) 695-2656
Mailing address
400 E FRONT ST, STE A, BUCHANAN, MI 49107-1403
(269) 695-3434
(269) 695-2656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04901003221
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003743A3321
VSP PROVIDER NUMBER
MI
01
—
P89185
BLUE CARE NETWORK
MI
Enumeration date
01/18/2007
Last updated
07/08/2007
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