Provider Demographics
NPI:1285643585
Name:SMITH, DENISE E (OD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:E
Last Name:SMITH
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:5656 BEE CAVE RD
Mailing Address - Street 2:SUITE D-201
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5280
Mailing Address - Country:US
Mailing Address - Phone:512-329-8900
Mailing Address - Fax:512-329-8105
Practice Address - Street 1:5656 BEE CAVE RD
Practice Address - Street 2:SUITE D-201
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:512-329-8900
Practice Address - Fax:512-329-8105
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6050T152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy