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Organization

DR SHELDON K SMITH, OPTOMETRIST INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHELDON K SMITH OD (PRESIDENT)
(530) 662-2020
Entity
Organization

Contact information

Practice address
316 WALNUT ST, WOODLAND, CA 95695-3141
(530) 662-2020
(530) 662-8642
Mailing address
316 WALNUT ST, WOODLAND, CA 95695-3141
(530) 662-2020
(530) 662-8642

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4612
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GSD000360
CA
Enumeration date
09/14/2010
Last updated
09/14/2010
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