Smith, Eric James
Smith, Eric James is an individual health care provider with primary practice located at 4102 Roosevelt Blvd , Middletown OH 45044-3699. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Eric James can be contacted via phone (513) 425-0817.Contact Information
Primary practice address
4102 Roosevelt Blvd
Middletown OH 45044-3699
Phone: (513) 425-0817
Fax: (513) 425-7101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4593/T1336 | Ohio |
Profile Details
| NPI number | 1649357567 |
|---|---|
| LBN Legal business name | Smith, Eric James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1649357567 | NPPES |
| Ohio | MEDICAID | 0996516 |
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