Smith, Mark Leonard
Smith, Mark Leonard is an sole proprietor health care provider with primary practice located at 2500 Marietta Rd , Chillicothe OH 45601-9458. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Mark Leonard can be contacted via phone (740) 775-6195.Contact Information
Primary practice address
2500 Marietta Rd
Chillicothe OH 45601-9458
Phone: (740) 775-6195
Fax: (740) 775-6195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3440 T159 | Ohio |
Profile Details
| NPI number | 1851392054 |
|---|---|
| LBN Legal business name | Smith, Mark Leonard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Apr 29th, 2008 - about 16 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 | 1851392054 | NPPES |
| Ohio | MEDICAID | 0681927 |
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