Smart, Tiffany Tyler
Smart, Tiffany Tyler is an individual health care provider with primary practice located at 590 Harbor St , Morro Bay CA 93442-1904. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Smart, Tiffany Tyler can be contacted via phone (805) 772-1269.Contact Information
Primary practice address
590 Harbor St
Morro Bay CA 93442-1904
Phone: (805) 772-1269
Fax: (805) 772-2172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT12647 | California |
Profile Details
| NPI number | 1619948304 |
|---|---|
| LBN Legal business name | Smart, Tiffany Tyler |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jan 29th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619948304 | NPPES |
| California | MEDICAID | SD01264701 |
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