Provider Demographics
NPI:1164578373
Name:SMITH, NANCY BARNARD (OD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:BARNARD
Last Name:SMITH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 GREELEY MALL # 27
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-8520
Mailing Address - Country:US
Mailing Address - Phone:970-353-1312
Mailing Address - Fax:
Practice Address - Street 1:1940 GREELEY MALL # 27
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-8520
Practice Address - Country:US
Practice Address - Phone:970-353-1312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1644152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management