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Contact Information

ALAN R SMITH, OD
2100 12TH AVE RD
NAMPA, ID83686-6441
 Phone: 208-467-5293
 Fax: 208-467-5359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for ALAN R SMITH · (Male)

NPI Number 1942316054
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # ODP-1060
  • ID Other V5228 BLUE CROSS
  • ID Other 000010148906 REGENCE
  • ID Other 15392 SPECTERA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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