Individual
DR. KEVIN D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11720 OLIO RD, STE 500, FISHERS, IN 46037-7623
(317) 570-8100
Mailing address
11720 OLIO RD, STE 500, FISHERS, IN 46037-7623
(317) 570-8100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003321B
IN
152WC0802X
Corneal and Contact Management Optometrist
18003321B
IN
152WP0200X
Pediatric Optometrist
18003321B
IN
152WS0006X
Sports Vision Optometrist
18003321B
IN
Other
Enumeration date
06/07/2006
Last updated
10/26/2009
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