Dr. Larry Dean Smith, O.D.
Optometrist in Fort Madison, IA. Individual provider (NPI-1).
NPI number1023083326
StatusActive
Last updated in NPPESOct 1, 2007
Details
- NPI
- 1023083326
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry Dean Smith
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2006
- Last updated
- Oct 1, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1601 | IA | Yes |
Practice location
914 Avenue GFort Madison, IA 52627-4530
Phone 319-372-5181 · Fax 319-372-0865
Mailing address
914 Avenue GFort Madison, IA 52627-4530
Phone 319-372-5181 · Fax 319-372-0865
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All 12 Optometrist providers in Fort Madison · All 169 providers in Fort Madison
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