NPI 1366730905 · live from the CMS NPI Registry
Christopher A Smith OD PA
Optometrist in El Dorado, KS. National Provider Identifier 1366730905, active.
NPI record
| NPI | 1366730905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2422 W Central Ave, Suite C, El Dorado, KS 67042 |
| Practice phone | 316-452-5999 |
| Mailing address | 8501 W Candlewood St, Wichita, KS 67205 |
| Enumerated | July 18, 2011 |
| Last updated | August 9, 2011 |
| Authorized official | Christopher Smith, President/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1826 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.