Organization
SMITH OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH C SMITH (PRESIDENT)
(212) 679-0766
Entity
Organization
Contact information
Practice address
401 E 34TH ST, SOUTH 3B, NEW YORK, NY 10016-4914
(212) 679-0766
Mailing address
401 E 34TH ST, SOUTH 3B, NEW YORK, NY 10016-4914
(212) 679-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03163848
—
NY
Enumeration date
07/19/2006
Last updated
04/07/2012
Update your record
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