Smith, Stephen Damon

Smith, Stephen Damon is an individual health care provider with primary practice located at 140 W Market St , Louisville KY 40202-1332. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Stephen Damon can be contacted via phone (502) 587-8696.

Contact Information

Primary practice address
140 W Market St Louisville KY 40202-1332
Fax: (502) 587-8165
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002709 Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 1445 DT Kentucky

Profile Details

NPI number 1114929460
LBN Legal business name Smith, Stephen Damon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114929460 NPPES
Kentucky Other 000000198612 ANTHEM PROVIDER
Kentucky Other 918468 ANTHEM PROVIDER
Kentucky Other 1445DT ANTHEM PROVIDER
Kentucky MEDICAID 77340503 ANTHEM PROVIDER
Kentucky Other 18002709 ANTHEM PROVIDER
Kentucky Other 21434 ANTHEM PROVIDER
Kentucky Other 11221323 ANTHEM PROVIDER

Popular Providers