Smith, Gary E
Smith, Gary E is an individual health care provider with primary practice located at 10725 Se 256Th St Ste 4, Kent WA 98030-8285. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Gary E can be contacted via phone (253) 852-8880.Contact Information
Primary practice address
10725 Se 256Th St Ste 4
Kent WA 98030-8285
Phone: (253) 852-8880
Fax: (253) 479-0104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001313 | Washington |
Profile Details
| NPI number | 1285626143 |
|---|---|
| LBN Legal business name | Smith, Gary E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Oct 14th, 2008 - about 16 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 | 1285626143 | NPPES |
| Washington | Other | SM0620 | BCBS |
| Washington | MEDICAID | 2104909 | BCBS |
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