Blake Smith, O.d., P.a.

NPI #1720276140 in Amarillo, Texas

Provider Information

NPI Number: 1720276140
Entity Type: Organization
Organization Name: Blake Smith, O.d., P.a.
Primary Specialty: Optometrist
Enumeration Date: Oct 10, 2007
Last Updated: Mar 5, 2008

Practice Location

Address: 2481 I-40 W
City: Amarillo
State: Texas
ZIP Code: 79109-1852
Phone: (806) 358-2205

Authorized Official

Name: DR. BLAKE E SMITH, O.D.
Title: PRESIDENT
Phone: (806) 881-7576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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