Smith, Mark P
Smith, Mark P is an individual health care provider with primary practice located at 2616 Warm Springs Rd , Columbus GA 31904-5323. 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 P can be contacted via phone (706) 323-3491.Contact Information
Primary practice address
2616 Warm Springs Rd
Columbus GA 31904-5323
Phone: (706) 323-3491
Fax: (706) 660-9191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT001254 | Georgia |
Profile Details
| NPI number | 1124046735 |
|---|---|
| LBN Legal business name | Smith, Mark P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 18th, 2011 - about 13 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 | 1124046735 | NPPES |
| Georgia | MEDICAID | 00451162F |
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