Individual
TIMOTHY J SMICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 BUTLER CMNS, BUTLER, PA 16001-2496
(724) 282-4054
(724) 282-5645
Mailing address
125 SEATON CREST DR, MARS, PA 16046-3063
(724) 504-2054
(724) 504-2054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET008773
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001601865
—
PA
01
—
OETOO8773
STATE
PA
Enumeration date
11/13/2006
Last updated
08/27/2014
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