Organization
DR JONATHAN SMITH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SMITH O.D. (PRESIDENT)
(775) 831-4131
Entity
Organization
Contact information
Practice address
780 NORTHWOOD BLVD, INCLINE VILLAGE, NV 89451-8209
(775) 831-4131
(775) 831-4165
Mailing address
780 NORTHWOOD BLVD, INCLINE VILLAGE, NV 89451-8209
(775) 831-4131
(775) 831-4165
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
267
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376681692
NPPES TYPE I INDIVIDUAL NPI
NV
Enumeration date
05/09/2007
Last updated
10/31/2008
Update your record
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