Smith, Suzanne Renee
Smith, Suzanne Renee is an individual health care provider with primary practice located at 909 E San Marnan Dr , Waterloo IA 50702-5611. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Smith, Suzanne Renee can be contacted via phone (319) 234-2616.Contact Information
Primary practice address
909 E San Marnan Dr
Waterloo IA 50702-5611
Phone: (319) 234-2616
Fax: (319) 234-1939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02096 | Iowa |
Profile Details
| NPI number | 1740234376 |
|---|---|
| LBN Legal business name | Smith, Suzanne Renee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 4th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740234376 | NPPES |
| Iowa | Other | 421417307C8 | JOHN DEERE HEALTH INS PLA |
| Iowa | Other | 48266 | JOHN DEERE HEALTH INS PLA |
| Iowa | MEDICAID | 1154146 | JOHN DEERE HEALTH INS PLA |
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