Search › Utah › 152W00000X
Jedidiah Smith, O.D
NPI 1649603572 · on the registry since 2013
Practice
- Address
- 1818 S 300 W
Salt Lake City, UT 84115 - Phone
- (801) 485-9715
- Organisation at this address
- Nathan Green O.D., P.C.
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Salt Lake City Eye Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IL, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah