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MICHEL E HANEN SMITH, O.D., M..S – NPI #1326119223
Optometrist

NPI Profile for Dr MICHEL E HANEN SMITH in MINNEAPOLIS, MN.

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Contact Information

MICHEL E HANEN SMITH, O.D., M..S
4323 E LAKE ST
MINNEAPOLIS, MN  55406-2307
 Phone: 612-722-1003
 Fax: 612-721-6331
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Optometrist

 152W00000X 41 Optometry
 

Corneal and Contact Management

 152WC0802X 41 Optometry
 

Occupational Vision

 152WX0102X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHEL E HANEN SMITH · (Male)

NPI # 1326119223
Status Active
Credentials O.D., M..S
Entity Individual
Enumeration date 11/13/2006
Last updated 12/27/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LD1652000
  • ND License # 362
  • MN Medicaid 333023100
  • Other 0748240001 DURABLE GOODS DMERC
  • MN Other 5C003HA BLUE PLUS
  • MN Other 06314HA CLINIC BCBS
  • MN Other 2202001 MEDICA PRIMARY
  • MN Other 2115985 MEDICAL DISP
  • MN Other 2202691 MODIRA UNITED HEALTH CARE
  • MN Other 19312 PIN HEALTH PARTNERS
  • MN Other 00621001 PREFERRED ONE
  • MN Other 3M197HA PROVIDER BCBS
  • MN Other 101856 UCARE
  • WI Other 411459852017 BSBC OF WI
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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