Smith, Robert E
Smith, Robert E is an individual health care provider with primary practice located at 5615 Pershing Ave Dept Ophthalmology, Ste 27, Saint Louis MO 63112-1701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Robert E can be contacted via phone (314) 367-7077.Contact Information
Primary practice address
5615 Pershing Ave Dept Ophthalmology, Ste 27
Saint Louis MO 63112-1701
Phone: (314) 367-7077
Fax: (314) 361-1528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03207 | Missouri |
Profile Details
| NPI number | 1114918604 |
|---|---|
| LBN Legal business name | Smith, Robert E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Apr 17th, 2025 - about last year |
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 | 1114918604 | NPPES |
| Missouri | MEDICAID | 318511417 |
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