Gentile, Robert Smith
Gentile, Robert Smith is an individual health care provider with primary practice located at 1701 Boulevard Sq Ste C, Waycross GA 31501-8021. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gentile, Robert Smith can be contacted via phone (912) 283-7171.Contact Information
Primary practice address
1701 Boulevard Sq Ste C
Waycross GA 31501-8021
Phone: (912) 283-7171
Fax: (912) 284-9183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT001677 | Georgia |
Profile Details
| NPI number | 1932194313 |
|---|---|
| LBN Legal business name | Gentile, Robert Smith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | May 31st, 2017 - about 7 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 | 1932194313 | NPPES |
| Georgia | MEDICAID | 115254692C | |
| Georgia | MEDICAID | 115254692D |
Popular Providers
-
Brewer, Henry Howard
2209 Memorial Dr , Waycross GA 31501-0983 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Boeskool, Zachary
2209 Memorial Dr , Waycross GA 31501-0902 -
Brown, Rodney Howard
1730 Brunswick Hwy , Waycross GA 31501 -
Stevenot, James Herbert
2209 Memorial Dr , Waycross GA 31501-0902 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735 -
Maurer, Diana
2209 Memorial Dr , Waycross GA 31501-0902 -
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805