Individual
DR. THEODORE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4775 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4313
(614) 459-0600
(614) 459-8750
Mailing address
4775 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4313
(614) 459-0600
(614) 459-8750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3203-1015
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305762
—
OH
Enumeration date
02/09/2007
Last updated
11/09/2017
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