Individual
KRISTA VALARIE SMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
4900 S MINNESOTA AVE, SUITE 105, SIOUX FALLS, SD 57108-2865
(600) 575-9238
Mailing address
4900 S MINNESOTA AVE, SUITE 105, SIOUX FALLS, SD 57108-2865
(600) 575-9238
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
156FX1101X
Ophthalmic Assistant
—
—
156FX1201X
Optometric Assistant Technician
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026-7978-ST
SD DEPT. OF REVENUE
SD
Enumeration date
11/11/2013
Last updated
11/11/2013
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