Fredric Ivan Smilen O.D.

NPI 1063555316 - Optometrist - 152W00000X

NPI Details
NPI 1063555316
Gender Male
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 GREYROCK PL
STAMFORD CT, 06901-3118, US
Phone (203) 348-3665
Fax
Business Location
5 TIMBER LN
MONROE CT, 06468-2641, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number T-005145-1
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According to our database, Dr. Fredric Ivan Smilen O.D. NPI is 1063555316, taxonomy code is 152W00000X and license number is T-005145-1, license state is located at New York. Fredric Ivan Smilen O.D. physically located at 100 Greyrock Pl, Stamford CT, 06901-3118. NPI Number Fredric Ivan Smilen O.D. has the Individual type.

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1063555316 NPI number is provided on an as is basis without warranty of any kind. 1063555316 is maintained by the National Plan & Provider Enumeration System. The contents of Fredric Ivan Smilen O.D. are for informational purposes only.