Organization
DRS STEVEN AND BRENDA SMOKE OD PC
Active
Other names
Smoke Family Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA D SMOKE O.D. (VICE PRESIDENT)
(269) 695-3434
Entity
Organization
Contact information
Practice address
400 E FRONT ST, SUITE A, BUCHANAN, MI 49107-1403
(269) 695-3434
(269) 695-2656
Mailing address
400 E FRONT ST, SUITE A, BUCHANAN, MI 49107-1403
(269) 695-3434
(269) 695-2656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04901003315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900A100180
BCBS MI GROUP PIN
MI
01
—
DD6283
RAILROAD MEDICARE
MI
Enumeration date
01/17/2007
Last updated
08/24/2009
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