Smith, Gregory Michael
Smith, Gregory Michael is an individual health care provider with primary practice located at 3259 Catlin Ave Naval Medical Clinic Quantico, Quantico VA 22134. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Gregory Michael can be contacted via phone (703) 784-1634.Contact Information
Primary practice address
3259 Catlin Ave Naval Medical Clinic Quantico
Quantico VA 22134
Phone: (703) 784-1634
Fax: (703) 784-1635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001601 | Virginia |
Profile Details
| NPI number | 1396758017 |
|---|---|
| LBN Legal business name | Smith, Gregory Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 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 | 1396758017 | NPPES |
| Virginia | Other | 1880196 | UNITED STATES NAVY |
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