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
Phone: (315) 539-9160
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659407260 | NPPES |
New York | Other | 101985CS | PREFERRED CARE |
New York | Other | 135462CT | PREFERRED CARE |
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