NPI 1053848572

Andrew Timothy Smith, OD

Practitioner Optometrist Provo, UT

Practice location

Address: 2230 N University Pkwy STE 10a, Provo, UT 84604-1594
Phone: (801) 373-4550
Mailing address: 1896 E 280 S, Spanish Fork, UT 84660-5834

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 10370070-9934 (UT)

Other Optometrist providers in Utah →

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 10370070-9934 (UT)

Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence 10370070-9934 (UT)

Registry record

NPI: 1053848572
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2017
Record last updated: 15 May 2017

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.