Smith, Jeffrey Alan

Smith, Jeffrey Alan is an individual health care provider with primary practice located at 18325 N Allied Way Ste 100 , Phoenix AZ 85054. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Jeffrey Alan can be contacted via phone (602) 467-4966.

Contact Information

Primary practice address
18325 N Allied Way Ste 100 Phoenix AZ 85054
Fax: (480) 419-5401
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2208 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X T03157 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 1612 Kansas

Profile Details

NPI number 1609869981
LBN Legal business name Smith, Jeffrey Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jun 12th, 2018 - about 7 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 1609869981 NPPES
Arizona Other 2208 OPTOMETRY
Arizona Other 410049327 OPTOMETRY

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