Provider Demographics
NPI:1417156977
Name:SMITH, JANINE AUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:AUSTIN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANINE
Other - Middle Name:AUSTIN
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6707 DEMOCRACY BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-5484
Mailing Address - Country:US
Mailing Address - Phone:301-402-1770
Mailing Address - Fax:301-402-1798
Practice Address - Street 1:10 CENTER DRIVE, OP10,
Practice Address - Street 2:NATIONAL EYE INSTITUTE/ NATIONAL INSTITUTES OF HEALTH
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-498-5846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-15
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD004616207W00000X
MDD0044616207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology