John Alexander Smith, O.D.
Optometrist, Low Vision Rehabilitation in Forest Grove, OR. Individual provider (NPI-1).
NPI number1609808237
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609808237
- Entity type
- Individual (NPI-1)
- Name
- John Alexander Smith
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WL0500X | Optometrist, Low Vision Rehabilitation | 1509ATI | OR | Yes |
Practice location
2043 College WayForest Grove, OR 97116-1756
Phone 503-352-2881 · Fax 503-352-2929
Mailing address
2043 College WayForest Grove, OR 97116-1756
Phone 503-352-2881 · Fax 503-352-2929
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