James, Brent A
James, Brent A is an sole proprietor health care provider with primary practice located at 28 Saint Andrews Dr , Little Rock AR 72212-2909. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. James, Brent A can be contacted via phone (501) 773-0312.Contact Information
Primary practice address
28 Saint Andrews Dr
Little Rock AR 72212-2909
Phone: (501) 773-0312
Fax: (501) 325-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2501 | Arkansas |
Profile Details
| NPI number | 1790754471 |
|---|---|
| LBN Legal business name | James, Brent A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 5th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790754471 | NPPES |
| Arkansas | MEDICAID | 200119722 |
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