Daiber Vision Care

LBN: Amy J S Daiber Od Pa
Daiber Vision Care is an health care organization with primary practice located at 317 East Parkway Drive , Russellville AR 72801-3915. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Amy J S Daiber Od Pa can be contacted via phone (479) 967-6113, or through Daiber, Amy Jeanine via phone (479) 967-6113.

Contact Information

Primary practice address
317 East Parkway Drive Russellville AR 72801-3915
Fax: (479) 968-6932
Website:
Authorized official contact:
Name: Daiber, Amy Jeanine Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1669512943
LBN Legal business name Amy J S Daiber Od Pa
DBA Doing business as Daiber Vision Care
Authorized official Daiber, Amy Jeanine Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Mar 31st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669512943 NPPES
Arkansas Other 5F421 BLUE CROSS BLUE SHIELD
Arkansas MEDICAID 124538722 BLUE CROSS BLUE SHIELD

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