DR. Jonathan Harold Smith, O.D.

NPI #1760795231 in Fairview Heights, Illinois

Provider Information

NPI Number: 1760795231
Entity Type: Individual
Name: DR. Jonathan Harold Smith, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 26, 2010
Last Updated: Jul 26, 2010

Practice Location

Address: 10840 LINCOLN TRL
City: Fairview Heights
State: Illinois
ZIP Code: 62208-2010
Phone: (618) 397-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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