NPI 1013496678

Randy D Smart, ABOCNCLECRDO

Practitioner Optician San Luis Obispo, CA

Practice location

Address: 3840 Broad St STE 5, San Luis Obispo, CA 93401-7186
Phone: (805) 787-0182
Fax: (805) 787-0150

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in California →

Registry record

NPI: 1013496678
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2018
Record last updated: 14 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.