Stephen Damon Smith in Louisville - Optometrist
Stephen Damon Smith - NPI 1114929460
Stephen Damon Smith is a Optometrist in Louisville, Kentucky. Stephen Damon Smith practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen Damon Smith is 1114929460. The last update date is 2023-03-07.
Stephen Damon Smith's current location address is 140 W Market St, Louisville, Kentucky. You can contact this provider via phone number 5025878696 and fax number 5025878165. The mailing address for Stephen Damon Smith is 140 W Market St, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Damon Smith |
|---|---|
| Address | 140 W Market St, Louisville, Kentucky |
| Phone Number | 5025878696 |
| Fax Number | 5025878165 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1114929460 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 140 W Market St |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 4020213320 |
| Phone Number | 5025878696 |
| Fax Number | 5025878165 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18002709 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 198612 | KY | ANTHEM PROVIDER | |
| 918468 | KY | BLOCK PROVIDER | |
| 1445DT | KY | KY OPTOMETRY LICENSE | |
| 77340503 | KY | -- | |
| 18002709 | IN | IN OPTOMETRY LICENSE | |
| 21434 | KY | CVC PROVIDER | |
| 11221323 | KY | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Damon Smith by the Centers for Medicare & Medicaid Services?
The Stephen Damon Smith has been assigned the NPI (National Provider Identifier) 1114929460. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stephen Damon Smith's facilities are situated?
The facilities of Stephen Damon Smith are physically located at the following address: 140 W Market St, Louisville, KY, 4020213320.
What is Stephen Damon Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Damon Smith's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114929460 to Stephen Damon Smith?
The Centers for Medicare & Medicaid Services originally issued the 1114929460 to Stephen Damon Smith on 2005-06-01.
As of what date were the details related to Stephen Damon Smith most recently updated or revised?
The information pertaining to Stephen Damon Smith, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.