Individual
ADAM RICHARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
450 NW GILMAN BLVD STE 104, ISSAQUAH, WA 98027-2483
(425) 392-8756
Mailing address
4450 189TH PL SE, ISSAQUAH, WA 98027-9710
(425) 269-0320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61217146
WA
152W00000X
Optometrist
OPT.006923
OH
Other
Enumeration date
02/22/2021
Last updated
03/05/2022
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