Stefan M. Smith, O.D.

Optometrist · Collinsville, IL

Individual Active NPI

NPI number 1932365699

Practice location

724 St. Louis Road
Collinsville, IL 62234-2032
Phone
(618) 345-0210
Fax
(618) 345-4770

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NPI record

NPI
1932365699
Entity type
Individual (Type 1)
Enumeration date
August 1, 2008
Last updated
November 2, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046010136 IL
Optometrist 152W00000X 046.010136 IL

About Dr. Smith

Stefan M. Smith, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 724 St. Louis Road, Collinsville, IL 62234-2032. The NPI number 1932365699 was assigned on August 1, 2008 and the record was last updated on November 2, 2009.

Dr. Smith lists 2 licenses in the registry: #046010136 (IL) for Optometrist; #046.010136 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stefan M. Smith, O.D.?

The NPI number is 1932365699.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (618) 345-0210.

Where is Dr. Smith located?

724 St. Louis Road, Collinsville, IL 62234-2032.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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