Individual
RICHARD E SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3201 W STATE ROAD 45, BLOOMINGTON, IN 47403-5107
(812) 339-2933
(812) 332-6065
Mailing address
3201 W STATE ROAD 45, BLOOMINGTON, IN 47403-5107
(812) 339-2933
(812) 332-6065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001827B
IN
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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