Individual
MR. STEPHEN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
55 MAIN ST, MASSENA OPTICS, MASSENA, NY 13662
(315) 769-5887
Mailing address
34 WINDSOR RD, MASSENA, NY 13662
(315) 769-6581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005407
NY
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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