Crismon, Paul Smith
Crismon, Paul Smith is an individual health care provider with primary practice located at 13800 San Antonio Dr , Norwalk CA 90650-4033. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crismon, Paul Smith can be contacted via phone (562) 864-6535.Contact Information
Primary practice address
13800 San Antonio Dr
Norwalk CA 90650-4033
Phone: (562) 864-6535
Fax: (562) 864-6538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5839T | California |
Profile Details
| NPI number | 1417937087 |
|---|---|
| LBN Legal business name | Crismon, Paul Smith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1417937087 | NPPES |
| California | MEDICAID | SD058390 |
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