Individual
DR. CLEO HERBERT SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1176 E CUTLAR XING, LELAND, NC 28451-6426
(910) 763-3601
(910) 763-4608
Mailing address
1729 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 763-3601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0986
NC
152W00000X
Optometrist
604
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890181P
—
NC
05
—
8909848
—
NC
Enumeration date
12/08/2005
Last updated
03/09/2025
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