Andrew P Smith, Od is a
Optometrist based in Waterloo, New York. Andrew P Smith, Od is licensed to practice in New York (license number TUV005146-J) and their current practice location is
204 Main Street Shop Ctr, Waterloo, New York. It can be reached at their office (for appointments etc.) via phone at
(315) 539-9160.
NPI number for Andrew P Smith, Od is 1659407260 and their current mailing address is 204 Main Street Shop Ctr, Waterloo, New York. Andrew P Smith, Od
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659407260.
Healthcare Provider's Profile
| Full Name | Andrew P Smith, Od |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 204 Main Street Shop Ctr, Waterloo, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659407260
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 04/24/2008
Medical Identifiers
Medical identifiers for Andrew P Smith, Od such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659407260 | NPI | - | NPPES |
| 101985CS | Other | NY | PREFERRED CARE |
| 135462CT | Other | NY | PREFERRED CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TUV005146-J (New York) | Primary |
| 302F00000X | Exclusive Provider Organization | TUV005146-J (New York) | Secondary |
| 332H00000X | Eyewear Supplier | TUV005146-J (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew P Smith, Od is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andrew P Smith, Od
204 Main Street Shop Ctr,
Waterloo, NY 13165-1454
Ph: (315) 539-9160 | Andrew P Smith, Od
204 Main Street Shop Ctr,
Waterloo, NY 13165-1454
Ph: (315) 539-9160 |
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