Whalio Doctors

NPI 1073694865

Craig M Smith, OD

Practitioner Optometrist Midvale, UT

Practice location

Address
7495 S State St, Midvale, UT 84047-2013
Phone
(801) 213-9400
Fax
(801) 213-9443
Mailing address
PO Box 510708, Salt Lake City, UT 84151-0708

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 109391-9934 (UT)

Registry record

NPI
1073694865
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Oct 2006
Record last updated
12 Nov 2021

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.