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DR. SHELDON LEE SMITH O.D.

Eye and Vision Services Providers Optometrist

Provider NPI: 1548323678

Provider Information:
DR. SHELDON LEE SMITH O.D.
Gender: M
Not Sole Proprietor

Practice Location:
118 CASS AVE  MOUNT CLEMENS, MI 48043-2204 US
Tel: 586-468-7370  Fax: --

Business Mailing Address:
22561 GRATIOT AVE  EASTPOINTE, MI 48021-2360 US
Tel: 586-350-2100  Fax: 586-350-2104

NPI Information:
NPI: 1548323678
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
MI4901003184
N152WL0500XEye and Vision Services Providers
Optometrist
MI4901003184

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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