Individual
DR. HEATHER ANNMARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-8103
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-4792
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
11013300A
IN
207W00000X
Ophthalmology Physician
11013642A
IN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
01066888A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01066888A
LICENSE
IN
Enumeration date
06/06/2007
Last updated
11/17/2020
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