IndividualActive
Samuel Smith, COA
NPI 1306519541 · Ophthalmic Technician/Technologist · Albuquerque, NM
Provider details
- NPI number
- 1306519541
- Entity type
- Individual
- Primary specialty
- Ophthalmic Technician/TechnologistEye and Vision Services Providers
- Credential
- COA
- Sex
- Male
- Sole proprietor
- No
- License
- COA
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1501 San Pedro Dr Se
Albuquerque, NM 87108-5153
Phone: (505) 265-1711
Approximate (ZIP-level) locationGet directions
Mailing address
13 Bacus Ave Apt 9
Durango, CO 81301-4161
Registry dates
- Enumerated
- 2021-07-25
- Last updated
- 2021-07-25
- Certified
- 2021-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.