Individual
DAVID ALAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
276 N. SPRINGCREEK PKWY, PROVIDENCE, UT 84332-9707
(435) 713-4444
(435) 787-1238
Mailing address
276 NO. SPRING CREEK PKWY, PROVIDENCE, UT 84332-9707
(435) 713-4444
(435) 787-1238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
346644-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3999070001
DMERC
UT
01
—
61391
PEHP
UT
01
—
615808
DMBA
UT
01
—
PRA03690
MOLINA
UT
01
—
QM0000053383
ALTIUS
UT
01
—
UT6644
EYEMED
UT
Enumeration date
08/30/2006
Last updated
01/25/2011
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