Individual
TRISHA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1313 2ND ST, PERRY, IA 50220-1511
(515) 465-4203
Mailing address
2316 SE 9TH LN UNIT 21, GRIMES, IA 50111-5193
(641) 330-2465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
101054
IA
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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