Search › Georgia › 152W00000X
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 CorporationInferred 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