Provider Demographics
NPI:1427036706
Name:SMITH, ROBERT EUGENE II (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EUGENE
Last Name:SMITH
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1228 QUEEN PEGGY LN
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5809
Mailing Address - Country:US
Mailing Address - Phone:972-899-2260
Mailing Address - Fax:
Practice Address - Street 1:2108 DALLAS PKWY
Practice Address - Street 2:SUITE 206
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4361
Practice Address - Country:US
Practice Address - Phone:972-378-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA45628207W00000X
TXM3742207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology