NPI 1205850401

Elizabeth Bladek Smith, OD

Practitioner Optometrist Waterford, CT

Practice location

Address: 850 Hartford Tpke, Waterford, CT 06385-4238
Phone: (860) 443-2414
Fax: (860) 444-0371

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence CT2325 (CT)

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Registry record

NPI: 1205850401
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2006
Record last updated: 8 Jul 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.