Individual
DR. GARY E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10725 SE 256TH ST, STE 4, KENT, WA 98030-8285
(253) 852-8880
(253) 479-0104
Mailing address
10725 SE 256TH ST, STE 4, KENT, WA 98030-8285
(253) 852-8880
(253) 479-0104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001313
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104909
—
WA
01
—
SM0620
BCBS
WA
Enumeration date
08/17/2005
Last updated
10/14/2008
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