Individual
MR. GARY STEVEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2400 N CROATAN HWY, KILL DEVIL HILLS, NC 27948-9355
(252) 441-2000
(252) 441-1834
Mailing address
2400 N CROATAN HWY, KILL DEVIL HILLS, NC 27948-9355
(252) 441-2000
(252) 441-1834
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8802077
—
NC
Enumeration date
11/30/2006
Last updated
07/08/2007
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