Smith, Gregory Michael

Smith, Gregory Michael is an individual health care provider with primary practice located at 3259 Catlin Ave Naval Medical Clinic Quantico, Quantico VA 22134. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Gregory Michael can be contacted via phone (703) 784-1634.

Contact Information

Primary practice address
3259 Catlin Ave Naval Medical Clinic Quantico Quantico VA 22134
Fax: (703) 784-1635
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001601 Virginia

Profile Details

NPI number 1396758017
LBN Legal business name Smith, Gregory Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1396758017 NPPES
Virginia Other 1880196 UNITED STATES NAVY

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