Smith, David Raymond

Smith, David Raymond is an sole proprietor health care provider with primary practice located at 8685 Olive Boulevard , University City MO 63132-6313. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, David Raymond can be contacted via phone (314) 219-5461.

Contact Information

Primary practice address
8685 Olive Boulevard University City MO 63132-6313
Phone: (314) 219-5461
Fax: (314) 219-5464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2007019153 Missouri

Profile Details

NPI number 1942408869
LBN Legal business name Smith, David Raymond
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Apr 13th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942408869 NPPES
Missouri MEDICAID 1942408869

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