Individual
DR. THERON C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1014 W POINSETT ST, GREER, SC 29650-1315
(864) 877-4731
(864) 877-6320
Mailing address
1014 W POINSETT ST, GREER, SC 29650-1315
(864) 877-4731
(864) 877-6320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
556
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410014024
RAILROAD MEDICARE
SC
01
—
4397085
AETNA
SC
05
—
8909844
—
NC
05
—
D05563
—
SC
Enumeration date
04/07/2006
Last updated
03/16/2010
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