IndividualActive
Allen Smith, O.D.
NPI 1255369138 · Optometrist · Jenison, MI
Provider details
- NPI number
- 1255369138
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4901004302 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
597 Baldwin St
Jenison, MI 49428-7994
Phone: (616) 457-0760
Fax: (616) 457-0762
Approximate (ZIP-level) locationGet directions
Mailing address
8134 Warner St
Allendale, MI 49401-9610
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.