LOREN DONNELL SMITH OD INC


Address: 35149 Newark Blvd, Ste C, Newark, CA 94560-1209
Phone: 5107963937

LOREN DONNELL SMITH OD INC (NPI# 1649692575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649692575
Entity Type Organization
Organization Name LOREN DONNELL SMITH OD INC
Practice Address 35149 Newark Blvd
Ste C
Newark
CA 94560-1209
Practice Telephone 5107963937
Mailing Telephone 5107963937
Enumeration Date 2014-01-13
Last Update Date 2014-01-13
Authorized Official Name DR. LOREN DONNELL SMITH (CMO/)
Authorized Official Telephone 5107963937
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 07354TLG CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA SD0073540 05

Office Location

Street Address 35149 NEWARK BLVD
STE C
City NEWARK
State CA
Zip Code 94560-1209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497039630 Isee Optometry Optometrist 35149 Newark Blvd, Ste C, Newark, CA 94560-1209 2011-10-06
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1558771477 Delta Optical Technician/Technologist 35149 Newark Blvd, Suite#b, Newark, CA 94560-1209 2014-04-30

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City NEWARK
Zip Code 94560

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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