Individual
MARTHA S. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
113 STATE ST, BELLEVUE, IA 52031-1307
(563) 872-5975
(563) 872-3248
Mailing address
113 STATE ST, BELLEVUE, IA 52031-1307
(563) 872-5975
(563) 872-3248
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02080
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221804
—
IA
Enumeration date
09/20/2005
Last updated
09/25/2008
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