Organization
BRUCE R SMITH OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R SMITH OD (PRESIDENT)
(219) 663-5960
Entity
Organization
Contact information
Practice address
321 N MAIN STREET, CROWN POINT, IN 46307
(219) 663-5960
(219) 663-2398
Mailing address
321 N MAIN STREET, CROWN POINT, IN 46307
(219) 663-5960
(219) 663-2398
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001702B
IN
Other
Enumeration date
12/06/2006
Last updated
06/24/2008
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