Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY D SMART JR., ABOC, NCLEC, RDO
Active Sole ProprietorMR. RANDY D SMART JR., ABOC, NCLEC, RDO is a Optician, Dispensing healthcare provider located in SAN LUIS OBISPO, California. NPI 1013496678 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1013496678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2018 (7.9673614847339 yrs)
- Last Updated
- Aug 14, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3840 BROAD ST STE 5SAN LUIS OBISPO, CA, 934017186Browse CA providers · Browse ZIP 93401
- Phone
- 8057870182
- Fax
- 8057870150
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in SAN LUIS OBISPO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBORAH GAYE KURPJUWEIT | OPTICIAN | 1881881951 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.