Provider Demographics
NPI:1750419834
Name:SMITH, DARRYL AARON (OD)
Entity type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:AARON
Last Name:SMITH
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:2300 N SALISBURY BLVD
Mailing Address - Street 2:SUITE # K119
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7810
Mailing Address - Country:US
Mailing Address - Phone:410-334-3698
Mailing Address - Fax:443-260-1776
Practice Address - Street 1:2300 N SALISBURY BLVD
Practice Address - Street 2:SUITE # K119
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7810
Practice Address - Country:US
Practice Address - Phone:410-334-3698
Practice Address - Fax:443-260-1776
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDTA1037152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist