Individual
DR. TERRY WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
781 ROUTE 1, YARMOUTH, ME 04096-6989
(207) 846-3100
Mailing address
PO BOX 1080, YARMOUTH, ME 04096-2080
(207) 846-3100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT559
ME
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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