Smith, Jennifer Mauney
Smith, Jennifer Mauney is an individual health care provider with primary practice located at 419 E Main St , Burnsville NC 28714-3050. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Smith, Jennifer Mauney can be contacted via phone (828) 682-2104.Contact Information
Primary practice address
419 E Main St
Burnsville NC 28714-3050
Phone: (828) 682-2104
Fax: (828) 682-4217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2052 | North Carolina |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2052 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2052 | North Carolina |
Profile Details
| NPI number | 1760504674 |
|---|---|
| LBN Legal business name | Smith, Jennifer Mauney |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Dec 30th, 2022 - about 3 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 | 1760504674 | NPPES |
| Other | 2388088 | WELLCARE | |
| Other | 145FK | WELLCARE | |
| MEDICAID | 5907709 | WELLCARE |
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