Patel, Smitesh Jay
Patel, Smitesh Jay is an individual health care provider with primary practice located at 9220 Marne Rd , Fort Benning GA 31905-5515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Patel, Smitesh Jay can be contacted via phone (706) 682-3938.Contact Information
Primary practice address
9220 Marne Rd
Fort Benning GA 31905-5515
Phone: (706) 682-3938
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 1868 | Georgia |
Profile Details
| NPI number | 1134103021 |
|---|---|
| LBN Legal business name | Patel, Smitesh Jay |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2005 |
| Last updated | Aug 23rd, 2022 - about 2 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 | 1134103021 | NPPES |
| Georgia | MEDICAID | 404896730A |
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