Smith, Jacqueline Rose

Smith, Jacqueline Rose is an individual health care provider with primary practice located at 289 Moody St , Waltham MA 02453-5284. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Smith, Jacqueline Rose can be contacted via phone (781) 894-2127.

Contact Information

Primary practice address
289 Moody St Waltham MA 02453-5284
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5620 Massachusetts

Profile Details

NPI number 1508558024
LBN Legal business name Smith, Jacqueline Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2023
Last updated Aug 22nd, 2023 - about last year

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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