Individual
DR. TIMOTHY JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
112A WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 781-2220
(816) 781-2854
Mailing address
112A WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 781-2220
(816) 781-2854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2464
MO
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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