National Provider Identifier Database

KEITH B SMITH, OPTICIAN – NPI #1205950730
Optician


Contact Information

KEITH B SMITH, OPTICIAN
880 N MIRAMAR AVE
INDIALANTIC, FL32903
Phone: 321-729-4340
Fax: 321-729-4340
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for KEITH B SMITH

NPI Number 1205950730
Credentials OPTICIAN
Entity Individual
Enumeration date 03/19/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • FL License #: 2197
Hospital affiliation n/a

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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