Smith, Philip L
Smith, Philip L is an individual health care provider with primary practice located at 1100 N Main Ave , San Antonio TX 78212-4701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Philip L can be contacted via phone (210) 222-2154.Contact Information
Primary practice address
1100 N Main Ave
San Antonio TX 78212-4701
Phone: (210) 222-2154
Fax: (210) 227-6056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 04549TG | Texas |
Profile Details
| NPI number | 1184690877 |
|---|---|
| LBN Legal business name | Smith, Philip L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Apr 14th, 2017 - about 8 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 | 1184690877 | NPPES |
| Texas | MEDICAID | 137341701 | |
| Texas | Other | 410038679 |
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