Individual
DR. WILLIAM C SMITH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT737
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000958
TENNCARE SELECT
TN
01
—
7373989
CIGNA
TN
Enumeration date
08/18/2006
Last updated
05/27/2009
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