Organization
WILLIAM C SMITH II OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH M PERHAC (INSURANCE SPECIALIST)
(615) 893-1913
Entity
Organization
Contact information
Practice address
119 S ACADEMY ST, MURFREESBORO, TN 37130-3701
(615) 893-1913
(615) 893-1917
Mailing address
119 S ACADEMY ST, MURFREESBORO, TN 37130-3701
(615) 893-1913
(615) 893-1917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000737
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000958
TENNCARE SELECT
TN
01
—
2000958
BLUECROSS BLUESHIELD OF TN
—
05
—
3594994
—
TN
01
—
7373989
CIGNA
TN
Enumeration date
11/02/2011
Last updated
03/25/2013
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