Individual
COURTNEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1601 W LINCOLN RD, KOKOMO, IN 46902-3275
(765) 453-5696
Mailing address
17404 FETZER CT, WESTFIELD, IN 46062-8019
(317) 225-7603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004534A
IN
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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