Smalley, Scott Edward
Smalley, Scott Edward is an individual health care provider with primary practice located at 83 The Plaza , Troy MO 63379-1365. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smalley, Scott Edward can be contacted via phone (636) 462-3958.Contact Information
Primary practice address
83 The Plaza
Troy MO 63379-1365
Phone: (636) 462-3958
Fax: (636) 462-3957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2005019135 | Missouri |
Profile Details
| NPI number | 1174534879 |
|---|---|
| LBN Legal business name | Smalley, Scott Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Nov 18th, 2014 - about 10 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 | 1174534879 | NPPES |
| Missouri | MEDICAID | 317177806 | |
| Missouri | Other | 11505611 | |
| Missouri | MEDICAID | 1174534879 |
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