Individual
ROB SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 LAPEER AVENUE, PORT HURON, MI 48060-4410
(810) 982-4451
(810) 982-8539
Mailing address
736 LAPEER AVENUE, PORT HURON, MI 48060-4410
(810) 982-4451
(810) 982-8539
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5406410540
BCBS
—
Enumeration date
02/14/2007
Last updated
01/07/2008
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