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Individual

DR. KAYLA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
6836 BEE CAVES RD # 100, AUSTIN, TX 78746-5059
(512) 614-1640
Mailing address
32415 5 MILE RD, LIVONIA, MI 48154-3039
(517) 899-0296

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005478
MI
152W00000X
Optometrist
9820T
TX
152WP0200X
Pediatric Optometrist
9820T
TX
152WV0400X
Vision Therapy Optometrist
9820T
TX

Other

Enumeration date
05/18/2020
Last updated
08/18/2020
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