Trevor Todd Smith
Optometrist
320 River Park Dr Ste 245
Provo
, Utah 84604-6065
Trevor Todd Smith
Optometrist
320 River Park Dr Ste 245
Provo
, Utah 84604-6065
(801) 800-8508
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Trevor Todd Smith
- 320 River Park Dr Ste 245
- Provo, UT
- Zip : 84604-6065
- Phone : (801) 800-8508
Second Address
- Trevor Todd Smith
- 320 River Park Dr Ste 245
- Provo, UT
- Zip : 84604-6065
- Phone : (801) 800-8508
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12296775-9934 | UT |
National Provider Identifier
| NPI | 1013582444 |
|---|---|
| Provider Name | Trevor Todd Smith |
| First Address | Provo, UT 84604-6065 |
| Second Address | Provo, UT 84604-6065 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2021 |
| Last Update Date | 27/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12296775-9934 | UTAH DOPL (01) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.