Individual
DR. DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10240 KINGSTON PIKE, KNOXVILLE, TN 37922
(865) 691-6348
(865) 691-7478
Mailing address
10240 KINGSTON PIKE, KNOXVILLE, TN 37922
(865) 691-6348
(865) 691-7478
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0DT640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0736630001
PTAN
TN
Enumeration date
02/27/2007
Last updated
05/14/2014
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