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45D2060106 CLIA NUMBER - SHANNON SMITH,MD PA

Laboratory Demographics

CLIA Number: 45D2060106

Facility Name: SHANNON SMITH,MD PA

Facility Address:
3302 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
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Facility Phone Number: 936 564-3600

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1598876237

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 45D2060106
LAB Type Physician Office
Facility Name SHANNON SMITH,MD PA
Street 3302 NE STALLINGS DR
City NACOGDOCHES
State TX
ZIP 75965
Phone 936 564-3600
CertificateType 4
CertificateEffectiveDate 6/6/2023
CertificateExpirationDate 6/5/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024