Individual
MICHAEL L SMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
730 MCKINLEY AVE NW, CANTON, OH 44703-3404
(330) 458-3000
Mailing address
6880 W SNOWVILLE RD STE 215, BRECKSVILLE, OH 44141-3254
(440) 565-5050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0733
NH
152WC0802X
Corneal and Contact Management Optometrist
0733
NH
207W00000X
Ophthalmology Physician
Primary
34.012627
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09Y003825NH02
ANTHEM NH
NH
05
—
30352041
—
NH
01
—
410047612
RAILROAD MEDICARE
NH
01
—
7366714001
CIGNA
NH
Enumeration date
08/31/2005
Last updated
02/28/2022
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