Arkansas Vision Development Center Pa

LBN: Arkansas Vision Development Center Pa
Arkansas Vision Development Center Pa is an health care organization with primary practice located at 1021 S Waldron Rd , Fort Smith AR 72903-2549. The organization recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as the primary health care specialty. Arkansas Vision Development Center Pa can be contacted via phone (479) 478-8860, or through Vaughn, Wanda via phone (479) 478-8860.

Contact Information

Primary practice address
1021 S Waldron Rd Fort Smith AR 72903-2549
Fax: (479) 478-8890
Website:
Authorized official contact:
Name: Vaughn, Wanda Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2554 Arkansas

Profile Details

NPI number 1942326244
LBN Legal business name Arkansas Vision Development Center Pa
DBA Doing business as
Authorized official Vaughn, Wanda Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Jan 12th, 2016 - about 10 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 1942326244 NPPES
Arkansas Other 49907 MEDICARE PTAN
Arkansas MEDICAID 158686722 MEDICARE PTAN
Arkansas Other 1942326244 MEDICARE PTAN
Arkansas MEDICAID 200057240A MEDICARE PTAN
Arkansas Other 1447387170 MEDICARE PTAN
Arkansas MEDICAID 200055390A MEDICARE PTAN
Arkansas Other 5F232 MEDICARE PTAN

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