Philip B Smith Od, Apc

LBN: Philip B Smith Od, Apc
Philip B Smith Od, Apc is an health care organization with primary practice located at 1855 1St Ave Suite 100, San Diego CA 92101. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Philip B Smith Od, Apc can be contacted via phone (619) 297-4331, or through Smith, Philip B via phone (619) 297-4331.

Contact Information

Primary practice address
1855 1St Ave Suite 100 San Diego CA 92101
Phone: (619) 297-4331
Fax: (619) 297-3558
Website:
Map and Directions
Authorized official contact:
Name: Smith, Philip B Doctor of Optometry (OD)
Phone: (619) 297-4331

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1942475231
LBN Legal business name Philip B Smith Od, Apc
DBA Doing business as
Authorized official Smith, Philip B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Sep 15th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942475231 NPPES
California MEDICAID GSD000300

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