NPI 1093877862

Lisa Godwin Smith, OD

Practitioner Optometrist Frederick, MD

Practice location

Address: 5227 Buckeystown Pike, Frederick, MD 21704-7535
Phone: (301) 846-4055
Fax: (301) 846-4158

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA1519 (MD)

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Registry record

NPI: 1093877862
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2006
Record last updated: 1 Nov 2011

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.