Individual
PAUL R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
216 CORDER RD., GAYTON HEALTH CENTRE, PC DBA EYESIGHT ASSOCIATES, WARNER ROBINS, GA 31088
(478) 987-5500
(478) 988-4628
Mailing address
216 CORDER RD, WARNER ROBINS, GA 31088
(478) 923-5872
(478) 922-9020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 002208
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251846613A
—
GA
Enumeration date
04/27/2006
Last updated
06/13/2018
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