Blanc, Smith
Blanc, Smith is an sole proprietor health care provider with primary practice located at 18610 Nw 67Th Ave , Hialeah FL 33015-2406. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Blanc, Smith can be contacted via phone (305) 474-0463.Contact Information
Primary practice address
18610 Nw 67Th Ave
Hialeah FL 33015-2406
Phone: (305) 474-0463
Fax: (305) 474-8071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC4425 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC4425 | Florida |
Profile Details
| NPI number | 1053644666 |
|---|---|
| LBN Legal business name | Blanc, Smith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2009 |
| Last updated | Jul 1st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053644666 | NPPES |
| Florida | MEDICAID | 001597300 |
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