Smithson, Keith

Smithson, Keith is an individual health care provider with primary practice located at 11656 Plaza America Dr , Reston VA 20190-4767. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smithson, Keith can be contacted via phone (703) 467-9080.

Contact Information

Primary practice address
11656 Plaza America Dr Reston VA 20190-4767
Phone: (703) 467-9080
Fax: (703) 467-9082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001041 Virginia

Profile Details

NPI number 1154339687
LBN Legal business name Smithson, Keith
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1154339687 NPPES
Virginia Other 383934 ANTHEM BCBS/RESTON
Virginia Other 383935 ANTHEM BCBS/RESTON
Virginia MEDICAID 009232231 ANTHEM BCBS/RESTON
Virginia Other 2663321 ANTHEM BCBS/RESTON
Virginia Other 7671300 ANTHEM BCBS/RESTON
Virginia Other 9314-0007 ANTHEM BCBS/RESTON
Virginia Other 295571 ANTHEM BCBS/RESTON

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