Individual
DR. ROBERT ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7150
(617) 654-7169
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2350
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0350354
—
MA
01
—
W15140
BLUECROSS BLUESHIELD
MA
Enumeration date
06/30/2006
Last updated
08/11/2011
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