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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457304818 NPPES
Washington MEDICAID 2032233
Washington MEDICAID 240471

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