Emmett Donald Smith, OD

NPI #1104815992 in Cleveland, Mississippi

Provider Information

NPI Number: 1104815992
Entity Type: Individual
Name: Emmett Donald Smith, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 14, 2005
Last Updated: Dec 30, 2009

Practice Location

Address: 136 NORTH ST
City: Cleveland
State: Mississippi
ZIP Code: 38732-2744
Phone: (662) 846-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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