Smith, Emily

Smith, Emily is an individual health care provider with primary practice located at 1200 W Deyoung St , Marion IL 62959-4437. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Smith, Emily can be contacted via phone (618) 993-5686.

Contact Information

Primary practice address
1200 W Deyoung St Marion IL 62959-4437
Phone: (618) 993-5686
Fax: (618) 997-6250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-009974 Illinois

Profile Details

NPI number 1013117159
LBN Legal business name Smith, Emily
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Nov 12th, 2018 - about 6 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 1013117159 NPPES
Illinois Other 0814870032 MEDICARE NSC NUMBER
Illinois Other P00454765, CB9582 MEDICARE NSC NUMBER
Illinois Other 0814870028 MEDICARE NSC NUMBER
Illinois Other 0814870001 MEDICARE NSC NUMBER
Illinois Other IL9974 MEDICARE NSC NUMBER
Illinois Other 0814870027 MEDICARE NSC NUMBER
Illinois MEDICAID 046009974 MEDICARE NSC NUMBER
Illinois Other 0814870029 MEDICARE NSC NUMBER
Illinois Other 135537 MEDICARE NSC NUMBER

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