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Individual

DR. THOMAS E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
707 W TIPTON ST, SEYMOUR, IN 47274-2157
(812) 524-3937
(812) 524-8647
Mailing address
707 W TIPTON ST, SEYMOUR, IN 47274-2157
(812) 524-3937
(812) 524-8647

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002065B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100140550A
IN
01
410036773
RAILROAD MEDICARE
IN
Enumeration date
01/17/2006
Last updated
08/11/2011
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