NPI 1235213687

Alan Charles Smith, OD

Practitioner Optometrist Southaven, MS

Practice location

Address: 1228 Goodman Rd E STE 1, Southaven, MS 38671-9540
Phone: (662) 349-8838
Fax: (662) 349-8875

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 628 (MS)

Other Optometrist providers in Mississippi →

Registry record

NPI: 1235213687
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2006
Record last updated: 18 Apr 2008

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.