Smith, Alan Charles
Smith, Alan Charles is an sole proprietor health care provider with primary practice located at 1228 Goodman Rd E Ste 1 , Southaven MS 38671-9540. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Alan Charles can be contacted via phone (662) 349-8838.Contact Information
Primary practice address
1228 Goodman Rd E Ste 1
Southaven MS 38671-9540
Phone: (662) 349-8838
Fax: (662) 349-8875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 628 | Mississippi |
Profile Details
| NPI number | 1235213687 |
|---|---|
| LBN Legal business name | Smith, Alan Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Apr 18th, 2008 - about 18 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 | 1235213687 | NPPES |
| Mississippi | MEDICAID | 00087025 |
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