Smith, Duncan Kenneth

Smith, Duncan Kenneth is an individual health care provider with primary practice located at 13534 Beach Blvd Ste 3 , Jacksonville FL 32224-1204. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Duncan Kenneth can be contacted via phone (904) 383-3400.

Contact Information

Primary practice address
13534 Beach Blvd Ste 3 Jacksonville FL 32224-1204
Phone: (904) 383-3400
Fax: (904) 383-3405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4243 Florida

Profile Details

NPI number 1073703716
LBN Legal business name Smith, Duncan Kenneth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jun 24th, 2026 - about 4 months 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 1073703716 NPPES
Georgia MEDICAID 613538974B

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