Individual
DR. KEISHA CHERMISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5709 HIGH POINT RD, SUITE 103, GREENSBORO, NC 27407-7043
(336) 856-8711
(336) 856-0498
Mailing address
5709 HIGH POINT RD, SUITE 103, GREENSBORO, NC 27407-7043
(336) 856-8711
(336) 856-0498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1966
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093TT
BCBS PROV #
NC
01
—
180005599J
RR MEDICARE INDIVIDUAL #
NC
05
—
5901172
—
NC
Enumeration date
05/05/2006
Last updated
01/05/2009
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