Provider Demographics
NPI:1457973984
Name:SMITH, EMILY (OD, MS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:SMITH
Suffix:
Gender:
Credentials:OD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 E EASTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2907
Mailing Address - Country:US
Mailing Address - Phone:814-404-5673
Mailing Address - Fax:
Practice Address - Street 1:8155 PINEY RIVER AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-8728
Practice Address - Country:US
Practice Address - Phone:720-453-1980
Practice Address - Fax:720-453-1981
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003704152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist