Smoot Eye Care, Llc

LBN: Smoot Eye Care, Llc
Smoot Eye Care, Llc is an health care organization with primary practice located at 1515 K St , Bedford IN 47421-3723. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Smoot Eye Care, Llc can be contacted via phone (812) 675-4199, or through Smoot, Michelle Lynn via phone (812) 583-9203.

Contact Information

Primary practice address
1515 K St Bedford IN 47421-3723
Fax: (812) 675-0301
Website:
Authorized official contact:
Name: Smoot, Michelle Lynn Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003555A Indiana
Eye and Vision Services Providers / Pediatrics 152WP0200X 18003555A Indiana

Profile Details

NPI number 1649591082
LBN Legal business name Smoot Eye Care, Llc
DBA Doing business as
Authorized official Smoot, Michelle Lynn Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2010
Last updated May 19th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649591082 NPPES
Indiana MEDICAID 200985290A

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