Smith, Cleo Herbert
Smith, Cleo Herbert is an individual health care provider with primary practice located at 584 Church St N , Concord NC 28025-4573. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Cleo Herbert can be contacted via phone (704) 782-0677.Contact Information
Primary practice address
584 Church St N
Concord NC 28025-4573
Phone: (704) 782-0677
Fax: (704) 262-9772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 604 | South Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0986 | North Carolina |
Profile Details
| NPI number | 1447235742 |
|---|---|
| LBN Legal business name | Smith, Cleo Herbert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Apr 11th, 2022 - about 2 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 | 1447235742 | NPPES |
| North Carolina | MEDICAID | 8909848 | |
| North Carolina | MEDICAID | 890181P |
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