Provider Demographics
NPI:1942569314
Name:SMG MEDICAL INVESTMENTS INC
Entity Type:Organization
Organization Name:SMG MEDICAL INVESTMENTS INC
Other - Org Name:HEALTHCARE FOR LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:256-324-1918
Mailing Address - Street 1:102 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2978
Mailing Address - Country:US
Mailing Address - Phone:256-332-5440
Mailing Address - Fax:256-332-5403
Practice Address - Street 1:15255 HIGHWAY 43
Practice Address - Street 2:STE 4
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-1924
Practice Address - Country:US
Practice Address - Phone:256-332-5440
Practice Address - Fax:256-332-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty