MR. Randy D Smart JR., ABOC, NCLEC, RDO
NPI #1013496678 in San Luis Obispo, California
Provider Information
- NPI Number
- 1013496678
- Entity Type
- Individual
- Name
- MR. Randy D Smart JR., ABOC, NCLEC, RDO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- ABOC, NCLEC, RDO
- Enumeration Date
- Aug 14, 2018
- Last Updated
- Aug 14, 2018
Practice Location
- Address
- 3840 BROAD ST STE 5
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-7186
- Phone
- (805) 787-0182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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