Organization
JOHN R SMITH OD AND LORI J SMITH OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R SMITH O.D., M.S. (DOCTOR)
(610) 562-4548
Entity
Organization
Contact information
Practice address
260 STATE ST, HAMBURG, PA 19526-1823
(610) 562-4548
(610) 562-1358
Mailing address
260 STATE ST, HAMBURG, PA 19526-1823
(610) 562-4548
(610) 562-1358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50003675
CAPITAL BLUE CROSS
PA
Enumeration date
04/02/2008
Last updated
02/25/2015
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