Chad P Smith, O.D. Valid NPI
Individual provider · Optometrist · Brookhaven, MS
- NPI
- 1174714133
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 787 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-08-06
- Last updated
- 2007-08-06
Practice location
211 N Whitworth Ave
Brookhaven, MS 39601-3051
(601) 833-4431