Smith, Jonathan

Smith, Jonathan is an individual health care provider with primary practice located at 780 Northwood Blvd , Incline Village NV 89451-8209. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Jonathan can be contacted via phone (775) 831-4131.

Contact Information

Primary practice address
780 Northwood Blvd Incline Village NV 89451-8209
Phone: (775) 831-4131
Fax: (775) 831-4165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 267 Nevada

Profile Details

NPI number 1376681692
LBN Legal business name Smith, Jonathan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jan 6th, 2009 - about 17 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 1376681692 NPPES
Nevada Other 1689888992 NPPES TYPE II ORGANIZATION/GROUP NPI
Nevada Other 0177380002 NPPES TYPE II ORGANIZATION/GROUP NPI

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