Individual
DR. LELAND KELLY SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2451 N MCMULLEN BOOTH RD, SUITE 221, CLEARWATER, FL 33759-1356
(727) 216-6214
(727) 431-0363
Mailing address
2451 N MCMULLEN BOOTH RD, SUITE 221, CLEARWATER, FL 33759-1356
(727) 216-6214
(727) 431-0363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235440001
DMERC/PTAN
FL
05
—
620094000
—
FL
Enumeration date
11/01/2006
Last updated
01/14/2015
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