Individual
JULIE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
301 S NORTON AVE, SYLACAUGA, AL 35150-3433
(256) 207-1277
(256) 207-1257
Mailing address
301 S NORTON AVE, SYLACAUGA, AL 35150-3433
(256) 207-1277
(256) 207-1257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-856-TA-421
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011810
NVA
AL
01
—
2210393
UNITED HEALTH CARE
AL
01
—
23173
SPECTERA
AL
01
—
2562071277
VSP
AL
01
—
51503897
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/10/2005
Last updated
07/08/2007
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