Smith, Paul R.

Smith, Paul R. is an individual health care provider with primary practice located at 216 Corder Rd. Gayton Health Centre, Pc Dba Eyesight Associates, Warner Robins GA 31088. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Paul R. can be contacted via phone (478) 987-5500.

Contact Information

Primary practice address
216 Corder Rd. Gayton Health Centre, Pc Dba Eyesight Associates Warner Robins GA 31088
Phone: (478) 987-5500
Fax: (478) 988-4628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 002208 Georgia

Profile Details

NPI number 1689631293
LBN Legal business name Smith, Paul R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689631293 NPPES
Georgia MEDICAID 251846613A

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