Fayetteville Eyecare Clinic

LBN: Fayetteville Eyecare Clinic
Fayetteville Eyecare Clinic is an health care organization with primary practice located at 1915 N Green Acres Rd , Fayetteville AR 72703-2617. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fayetteville Eyecare Clinic can be contacted via phone (479) 442-8961, or through Rodman, Tasker N via phone (501) 225-9944.

Contact Information

Primary practice address
1915 N Green Acres Rd Fayetteville AR 72703-2617
Phone: (479) 442-8961
Fax: (479) 442-6440
Website:
Map and Directions
Authorized official contact:
Name: Rodman, Tasker N Doctor of Optometry (OD)
Phone: (501) 225-9944

Health care specialties

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

Profile Details

NPI number 1588999767
LBN Legal business name Fayetteville Eyecare Clinic
DBA Doing business as
Authorized official Rodman, Tasker N Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2009
Last updated Jun 24th, 2020 - about 6 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 1588999767 NPPES
Arkansas MEDICAID 182431722

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