Provider Demographics
NPI:1114906427
Name:CONNER SMITH EYE CENTER PC
Entity Type:Organization
Organization Name:CONNER SMITH EYE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAMBRING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-524-3937
Mailing Address - Street 1:707 W TIPTON ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2157
Mailing Address - Country:US
Mailing Address - Phone:812-524-3937
Mailing Address - Fax:812-524-8647
Practice Address - Street 1:707 W TIPTON ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2157
Practice Address - Country:US
Practice Address - Phone:812-524-3937
Practice Address - Fax:812-524-8647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X, 207W00000X
IN50002763A332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100236150AMedicaid
IN1130800002OtherDMERC B RAILROAD MEDICARE
INCL4594OtherRAILROAD MEDICARE