Individual
DR. FRANCES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3449ATI
OR
152W00000X
Optometrist
Primary
OD60291678
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356605695
—
WA
01
—
P01648982
RR PTAN WVH
WA
Enumeration date
07/02/2012
Last updated
06/21/2016
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