Organization
DOCTOR SMITH EYECARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY J SMITH OD (OD/OWNER)
(239) 573-4742
Entity
Organization
Contact information
Practice address
1890 NE PINE ISLAND RD, CAPE CORAL, FL 33909-1733
(239) 573-4742
Mailing address
1890 NE PINE ISLAND RD, CAPE CORAL, FL 33909-1733
(239) 573-4742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152W00000X
TAXONOMY
FL
01
—
OPC3175
LICENSE
FL
Enumeration date
07/17/2014
Last updated
07/31/2014
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