Smith, Gerald W

Smith, Gerald W is an individual health care provider with primary practice located at 15446 Bel Red Rd , Redmond WA 98052-5501. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Smith, Gerald W can be contacted via phone (425) 883-5320.

Contact Information

Primary practice address
15446 Bel Red Rd Redmond WA 98052-5501
Phone: (425) 883-5320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00000787 Washington
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X MS1246897 Washington

Profile Details

NPI number 1043362882
LBN Legal business name Smith, Gerald W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Oct 16th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043362882 NPPES
Washington MEDICAID 8100562

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