Organization
BLAKE SMITH, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE E SMITH O.D. (PRESIDENT)
(806) 881-7576
Entity
Organization
Contact information
Practice address
2481 I-40 W, AMARILLO, TX 79109-1852
(806) 358-2205
Mailing address
4612 S COULTER ST, AMARILLO, TX 79119-6403
(806) 677-0175
(806) 677-0177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7101 TG
TX
Other
Enumeration date
10/10/2007
Last updated
03/05/2008
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