Individual
DR. STEPHEN PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3468 28TH ST SE, KENTWOOD, MI 49512-1602
(616) 974-8981
Mailing address
3468 28TH ST SE, KENTWOOD, MI 49512-1602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004840
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004840
MI
152WS0006X
Sports Vision Optometrist
4901004840
MI
Other
Enumeration date
10/01/2014
Last updated
08/22/2023
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