Emily Smith
Optometrist
1200 W Deyoung St
Marion
, Illinois 62959-4437
Emily Smith
Optometrist
1200 W Deyoung St
Marion
, Illinois 62959-4437
(217) 824-2228
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Emily Smith
- 904 W Springfield Rd
- Taylorville, IL
- Zip : 62568-1213
- Fax : (217) 824-2228
- Phone : (217) 287-2020
Second Address
- Emily Smith
- 1200 W Deyoung St
- Marion, IL
- Zip : 62959-4437
- Fax : (618) 997-6250
- Phone : (618) 993-5686
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-009974 | IL |
National Provider Identifier
| NPI | 1013117159 |
|---|---|
| Provider Name | Emily Smith |
| First Address | Taylorville, IL 62568-1213 |
| Second Address | Marion, IL 62959-4437 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2007 |
| Last Update Date | 12/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 046009974 | (05) | IL |
| 0814870001 | MEDICARE NSC NUMBER (01) | IL |
| 0814870027 | MEDICARE NSC NUMBER (01) | IL |
| 0814870028 | MEDICARE NSC NUMBER (01) | IL |
| 0814870029 | MEDICARE NSC NUMBER (01) | IL |
| 0814870032 | MEDICARE NSC NUMBER (01) | IL |
| 135537 | HEALTH ALLIANCE (01) | |
| IL9974 | EYEMED (01) | |
| P00454765, CB9582 | MEDICARE RAILROAD (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.