Old, Tamara Smith
Old, Tamara Smith is an individual health care provider with primary practice located at 4874 Sparks Blvd , Sparks NV 89436-8206. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Old, Tamara Smith can be contacted via phone (775) 358-1317.Contact Information
Primary practice address
4874 Sparks Blvd
Sparks NV 89436-8206
Phone: (775) 358-1317
Fax: (775) 355-7522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 415 | Nevada |
Profile Details
| NPI number | 1104906759 |
|---|---|
| LBN Legal business name | Old, Tamara Smith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Oct 5th, 2023 - about last year |
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 | 1104906759 | NPPES |
| Nevada | Other | V100563 | MEDICARE ID-PIN |
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