Smith, Robert Carl

Smith, Robert Carl is an individual health care provider with primary practice located at 1200 W Deyoung St , Marion IL 62959-4437. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Robert Carl can be contacted via phone (618) 993-5686.

Contact Information

Primary practice address
1200 W Deyoung St Marion IL 62959-4437
Phone: (618) 993-5686
Fax: (618) 997-6250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046.009880 Illinois

Profile Details

NPI number 1558419325
LBN Legal business name Smith, Robert Carl
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 15th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558419325 NPPES
Illinois Other P00418703 MEDICARE RAILROAD
Illinois Other 0814870028 MEDICARE RAILROAD
Illinois MEDICAID 046009880 MEDICARE RAILROAD
Illinois Other 0814870001 MEDICARE RAILROAD
Illinois Other 0814870031 MEDICARE RAILROAD
Illinois Other 0814870029 MEDICARE RAILROAD
Illinois Other 133825 MEDICARE RAILROAD
Illinois Other IL9880 MEDICARE RAILROAD

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