DRS Steven and Brenda Smoke OD PC
Organization Active NPI Optometrist · Dowagiac, MI
NPI 1306998323 · NPPES record last updated Aug 24, 2009
Key facts
- NPI
- 1306998323
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 04901003315 (MI)
- Legal business name
- DRS STEVEN AND BRENDA SMOKE OD PC
- Practice address
- 105 Pennsylvania Ave
Dowagiac, MI 49047-1748 - Phone
- (269) 782-7141
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Brenda D Smoke, O.D.
- Title
- Vice President
- Phone
- (269) 782-7141
Practitioners 6
-
Heather Louise Cotter, O.D.
-
Bradley P Mundy, O.D.
-
Brenda Dani Smoke, O.D.
-
Steven Alan Smoke, O.D.
-
Adam Urbanski, O.D.
National Provider Directory
Locations
400 E Front St
Ste A
Buchanan, MI 49107
Phone (269) 695-3434
105 Pennsylvania Ave
Dowagiac, MI 49047
Phone (269) 782-7141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 04901003315 | MI | Yes |
Addresses
Primary practice location
105 Pennsylvania Ave
Dowagiac, MI 49047-1748
Mailing address
PO Box 506
Dowagiac, MI 49047-0506
Phone (269) 782-7141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900A400020 | Other | MI | BCBS GROUP PIN |
Other names
- Smoke Family Vision Center
Other providers in Dowagiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.