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Individual

DR. TY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
50 N MAIN ST STE 102, COLLIERVILLE, TN 38017-2605
(901) 484-7017
Mailing address
50 N MAIN ST, STE 102, COLLIERVILLE, TN 38017-2605
(662) 772-5882

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3691
TN
152W00000X
Optometrist
975
MS

Other

Enumeration date
07/26/2018
Last updated
07/26/2021
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