Provider Demographics
NPI:1609810290
Name:SMARZINSKI, KAY L (OD)
Entity Type:Individual
Prefix:DR
First Name:KAY
Middle Name:L
Last Name:SMARZINSKI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:L
Other - Last Name:DOMBKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3425 E CHANDLER BLVD APT 121
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-5839
Mailing Address - Country:US
Mailing Address - Phone:650-930-0119
Mailing Address - Fax:
Practice Address - Street 1:38069 MARTHA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-3811
Practice Address - Country:US
Practice Address - Phone:510-791-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1492152W00000X
CA12568152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist