Gary Locke Smith is a Sports Vision in Rome, Georgia. Gary Locke Smith practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Gary Locke Smith is 1720128572. The last update date is 2023-03-07.
Gary Locke Smith's current location address is 1013 N 5th Ave Ne, Rome, Georgia. You can contact this provider via phone number 7062326767 and fax number 7062914677. The mailing address for Gary Locke Smith is 1013 N 5th Ave Ne, Rome, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Locke Smith |
|---|---|
| Address | 1013 N 5th Ave Ne, Rome, Georgia |
| Phone Number | 7062326767 |
| Fax Number | 7062914677 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1720128572 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1013 N 5th Ave Ne |
|---|---|
| City | Rome |
| State | Georgia (GA) |
| Post Code | 301652664 |
| Phone Number | 7062326767 |
| Fax Number | 7062914677 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 687 |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 581444484 | GA | FEDERAL ID | |
| 4727 | GA | -- | |
| GA000687 | GA | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gary Locke Smith by the Centers for Medicare & Medicaid Services?
The Gary Locke Smith has been issued the NPI (National Provider Identifier) 1720128572, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Locke Smith?
The Gary Locke Smith is situated at 1013 N 5Th Ave Ne, in the city of Rome, state of GA, with the zip code 301652664.
What is Gary Locke Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Locke Smith's specialized field of practice is Sports Vision, and the corresponding taxonomy code that categorizes this area of specialization is 152Ws0006X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720128572 to Gary Locke Smith?
The Centers for Medicare & Medicaid Services originally issued the 1720128572 to Gary Locke Smith on 2007-02-08.
As of what date were the details related to Gary Locke Smith most recently updated or revised?
The information pertaining to Gary Locke Smith, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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