Organization
TIMOTHY J. SMITH, O.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J. SMITH O.D. (OPTOMETRIST)
(816) 781-2220
Entity
Organization
Contact information
Practice address
112A WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 781-2220
(816) 781-2854
Mailing address
112A WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 781-2220
(816) 781-2854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13006021
BCBS OF KC
MO
Enumeration date
09/17/2007
Last updated
09/17/2007
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