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Mr. Randy D Smart JR., ABOC,NCLEC,RDO
Optician in San Luis Obispo, California
NPI 1013496678

Randy D Smart JR. is a Optician based in San Luis Obispo, CA and is specialized in Optician. Randy D Smart JR. practices in San Luis Obispo, CA and has the professional credentials of ABOC,NCLEC,RDO. The NPI Number for Randy D Smart JR. is 1013496678 and holds a License No. (California).

The current practice location address for Randy D Smart JR. is 3840 Broad St Ste 5, San Luis Obispo, CA and can be reached out via phone at 805-787-0182 and via fax at 805-787-0150.

Location: 3840 Broad St Ste 5, San Luis Obispo, CA, 93401-7186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013496678
Provider Name
Randy D Smart JR.
Credential
ABOC,NCLEC,RDO
Provider Entity Type
Individual
Gender
Male
Address
3840 Broad St Ste 5, San Luis Obispo, CA, 93401-7186
Phone Number
805-787-0182
Fax Number
805-787-0150
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3840 Broad St Ste 5
City
San Luis Obispo
State
California
Zip
93401-7186
Phone Number
805-787-0182
Fax Number
805-787-0150
person
Provider Business Mailing Address Details
Address
3840 Broad St Ste 5
City
San Luis Obispo
State
California
Zip
93401-7186
Phone Number
805-787-0182
Fax Number
805-787-0150
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
(California)
Definition
Definition to come...
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