Individual
DR. BENJAMIN DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1041 ACOMA ST, DENVER, CO 80204-4034
(720) 255-2412
(720) 536-8283
Mailing address
1041 ACOMA ST, DENVER, CO 80204-4034
(720) 255-2412
(720) 536-8283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2881
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50824066
—
CO
Enumeration date
11/14/2008
Last updated
02/06/2015
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