Individual
DR. MEGAN LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
537 W KARSCH BLVD, FARMINGTON, MO 63640-3312
(573) 747-4133
(573) 747-4533
Mailing address
105 SCIENCE ST, PARK HILLS, MO 63601-2529
(573) 200-8732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2009019492
MO
152W00000X
Optometrist
OPC004476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000006438
MEDICARE PTAN
MO
05
—
1295966927
—
MO
Enumeration date
07/29/2009
Last updated
06/26/2024
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