Individual
DR. THOMAS W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Mailing address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
646
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410024409
MEDICARE RAILROAD
SC
01
—
4489627
AETNA PROVIDER NUMBER
SC
01
—
5812847002
CIGNA PROVIDER NUMBER
SC
05
—
DA9938
—
SC
Enumeration date
01/26/2006
Last updated
06/02/2009
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