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Individual

DR. HEATHER C SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1001 E WT HARRIS BLVD, SUITE H, CHARLOTTE, NC 28213-4104
(704) 549-4523
(704) 549-0606
Mailing address
1001 E WT HARRIS BLVD, SUITE H, CHARLOTTE, NC 28213-4104
(704) 549-4523
(704) 549-0606

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1651
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093TK
BCBSNC
NC
05
5900620
NC
01
800127
COMMUNITY EYE CARE
NC
Enumeration date
07/20/2005
Last updated
02/13/2015
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