Smitty'S Shoes Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SMITTY'S SHOES INC.

Practice address

2382 US Highway 23 S
Alpena, MI 49707-4546

Phone

(989) 356-0869

NPI assigned

Oct 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronald Lee Smith

Title

Pres.

Phone

(989) 356-0869

Specialties & licenses 1

Addresses

Other names 1

• Lee's Department Store Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1427246743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 US. 23 SOUTH",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074546",
            "telephone_number": "989-356-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074546",
            "telephone_number": "989-356-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITTY'S SHOES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "989-356-0869",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee's Department Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Smith
• Erin Smith
• Jennifer Smith, PHARMD
• Leanne Smith, BSW
• Aimee Smithem, OTL
• Renee M Smolinski, LMSW
• Brianna Marie Snow
• Douglas Spencer Snow, MD
• Lana Ann Snyder, LLBSW
• Amanda Sola, MSW

• Prosthetic/Orthotic Supplier in Alpena, MI
• Providers in Alpena, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.