Brandon Eye Clinic Pllc

LBN: Brandon Eye Clinic Pllc
Brandon Eye Clinic Pllc is an health care organization with primary practice located at 1600 W Sunset Ave , Springdale AR 72762-5136. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Brandon Eye Clinic Pllc can be contacted via phone (479) 756-1234, or through Brandon, Philip F via phone (479) 756-1234.

Contact Information

Primary practice address
1600 W Sunset Ave Springdale AR 72762-5136
Phone: (479) 756-1234
Fax: (479) 756-1087
Website:
Map and Directions
Authorized official contact:
Name: Brandon, Philip F Doctor of Optometry (OD)
Phone: (479) 756-1234

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X PC-124 Arkansas

Profile Details

NPI number 1417067687
LBN Legal business name Brandon Eye Clinic Pllc
DBA Doing business as
Authorized official Brandon, Philip F Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 20th, 2013 - about 13 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 1417067687 NPPES
Arkansas Other 17274000040 QUALCHOICE
Arkansas MEDICAID 189802722 QUALCHOICE

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