Madison Nicole Smith, OD
Optometrist in Waterville, OH. Individual provider (NPI-1).
NPI number1801515366
StatusActive
Last updated in NPPESDec 26, 2022
Details
- NPI
- 1801515366
- Entity type
- Individual (NPI-1)
- Name
- Madison Nicole Smith
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2022
- Certification date
- Dec 26, 2022
- Last updated
- Dec 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT.007080 | OH | Yes |
Practice location
1073 Pray BlvdWaterville, OH 43566-8712
Phone 567-952-2020
Mailing address
1073 Pray Blvd # 11Waterville, OH 43566-8712
Phone 567-952-2020 · Fax 567-952-2142
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All 6 Optometrist providers in Waterville · All 144 providers in Waterville
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