NPI 1023083326

Larry Dean Smith, OD

Practitioner Optometrist Fort Madison, IA

Practice location

Address: 914 Avenue G, Fort Madison, IA 52627-4530
Phone: (319) 372-5181
Fax: (319) 372-0865

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1601 (IA)

Other Optometrist providers in Iowa →

Registry record

NPI: 1023083326
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2006
Record last updated: 1 Oct 2007

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.