Smith, Alex Jonathan
Smith, Alex Jonathan is an individual health care provider with primary practice located at 1920 E. Baseline Road , Tempe AZ 85283. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Smith, Alex Jonathan can be contacted via phone (480) 345-5085.Contact Information
Primary practice address
1920 E. Baseline Road
Tempe AZ 85283
Phone: (480) 345-5085
Fax: (408) 345-5266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1570 | Arizona |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1570 | Arizona |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1570 | Arizona |
Profile Details
| NPI number | 1457304818 |
|---|---|
| LBN Legal business name | Smith, Alex Jonathan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Mar 28th, 2014 - about 11 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 | 1457304818 | NPPES |
| Washington | MEDICAID | 2032233 | |
| Washington | MEDICAID | 240471 |
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