Smith, Gerald W
Smith, Gerald W is an individual health care provider with primary practice located at 15446 Bel Red Rd , Redmond WA 98052-5501. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Smith, Gerald W can be contacted via phone (425) 883-5320.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OD00000787 | Washington |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | MS1246897 | Washington |
Profile Details
NPI number | 1043362882 |
---|---|
LBN Legal business name | Smith, Gerald W |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2007 |
Last updated | Oct 16th, 2007 - about 17 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 | 1043362882 | NPPES |
Washington | MEDICAID | 8100562 |
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