Andrew P Smith, Od

LBN: Andrew P Smith, Od
Andrew P Smith, Od is an health care organization with primary practice located at 204 Main Street Shop Ctr , Waterloo NY 13165-1454. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Managed Care Organizations / Exclusive Provider Organization, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Andrew P Smith, Od can be contacted via phone (315) 539-9160, or through Smith, Andrew P via phone (315) 539-9160.

Contact Information

Primary practice address
204 Main Street Shop Ctr Waterloo NY 13165-1454
Fax:
Website:
Authorized official contact:
Name: Smith, Andrew P Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV005146-J New York
Managed Care Organizations / Exclusive Provider Organization 302F00000X TUV005146-J New York
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X TUV005146-J New York

Profile Details

NPI number 1659407260
LBN Legal business name Andrew P Smith, Od
DBA Doing business as
Authorized official Smith, Andrew P Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 24th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659407260 NPPES
New York Other 101985CS PREFERRED CARE
New York Other 135462CT PREFERRED CARE

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