Individual
JANICE FAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3925 S 76TH ST, MILWAUKEE, WI 53220-2320
(414) 543-2900
Mailing address
3925 S 76TH ST, MILWAUKEE, WI 53220-2320
(504) 495-3887
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3391-35
WI
Other
Enumeration date
07/18/2015
Last updated
06/09/2025
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