Individual
DR. TONY SHAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1225 PARIS RD, MAYFIELD, KY 42066-4989
(270) 251-2020
(270) 247-8652
Mailing address
1225 PARIS RD, MAYFIELD, KY 42066-4989
(270) 251-2020
(270) 247-8652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1391DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77013910
—
KY
Enumeration date
08/02/2005
Last updated
06/16/2022
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