Smith, Jeffrey Alan
Smith, Jeffrey Alan is an individual health care provider with primary practice located at 18325 N Allied Way Ste 100 , Phoenix AZ 85054. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Jeffrey Alan can be contacted via phone (602) 467-4966.Contact Information
Primary practice address
18325 N Allied Way Ste 100
Phoenix AZ 85054
Phone: (602) 467-4966
Fax: (480) 419-5401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2208 | Arizona |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03157 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1612 | Kansas |
Profile Details
| NPI number | 1609869981 |
|---|---|
| LBN Legal business name | Smith, Jeffrey Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jun 12th, 2018 - about 8 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 | 1609869981 | NPPES |
| Arizona | Other | 2208 | OPTOMETRY |
| Arizona | Other | 410049327 | OPTOMETRY |
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