SearchGeorgia152W00000X

Preston Smith, O.D

NPI 1710485008 · on the registry since 2018 · sole proprietor

Practice

Address
1715 Charles Hardy Pkwy
Dallas, GA 30157
Phone
(404) 806-4610
Fax
(404) 806-4611
Organisation at this address
Eyeconic Family Eyecare Llc
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
Licence states on file
IL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-28

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 Georgia