Organization
SMITH OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES B SMITH OPTICIAN (PRESIDENT)
(270) 842-5575
Entity
Organization
Contact information
Practice address
730 FAIRVIEW AVENUE, SUITE B1A, BOWLING GREEN, KY 42101-2367
(270) 842-5575
(270) 842-5575
Mailing address
730 FAIRVIEW AVENUE, SUITE B1A, BOWLING GREEN, KY 42101-2354
(270) 842-5575
(270) 842-5575
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141690001
PIN
—
Enumeration date
11/13/2006
Last updated
02/13/2008
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