Smith, Alan Richard

Smith, Alan Richard is an individual health care provider with primary practice located at 2100 12Th Ave Rd , Nampa ID 83686-6441. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Smith, Alan Richard can be contacted via phone (208) 467-5293.

Contact Information

Primary practice address
2100 12Th Ave Rd Nampa ID 83686-6441
Phone: (208) 467-5293
Fax: (208) 467-5359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X ODP-1060 Idaho

Profile Details

NPI number 1942316054
LBN Legal business name Smith, Alan Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942316054 NPPES
Idaho Other 000010148906 REGENCE
Idaho Other 15392 REGENCE
Idaho Other V5228 REGENCE

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