Dr Leland Kelly Smith Iii, OD | |
2451 N Mcmullen Booth Rd, Suite 221, Clearwater, FL 33759-1356 | |
(727) 216-6214 | |
(727) 431-0363 |
Full Name | Dr Leland Kelly Smith Iii |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 33 Years |
Location | 2451 N Mcmullen Booth Rd, Clearwater, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356428684 | NPI | - | NPPES |
1235440001 | Other | FL | DMERC/PTAN |
620094000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC2660 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mobile Vision Partners Pllc | 3173804523 | 5 |
Provider Name | Mobile Vision Partners Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750746095 PECOS PAC ID: 3173804523 Enrollment ID: O20161227001386 |
Mailing Address | Practice Location Address |
---|---|
Dr Leland Kelly Smith Iii, OD 2451 N Mcmullen Booth Rd, Suite 221, Clearwater, FL 33759-1356 Ph: (727) 216-6214 | Dr Leland Kelly Smith Iii, OD 2451 N Mcmullen Booth Rd, Suite 221, Clearwater, FL 33759-1356 Ph: (727) 216-6214 |
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