Mid South Retina Associates, Llc

LBN: Mid South Retina Associates, Llc
Mid South Retina Associates, Llc is an health care organization with primary practice located at 529 N 10Th St , Blytheville AR 72315-1974. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Mid South Retina Associates, Llc can be contacted via phone (870) 762-1942, or through Sievers, Richard via phone (901) 682-1100.

Contact Information

Primary practice address
529 N 10Th St Blytheville AR 72315-1974
Phone: (870) 762-1942
Fax: (901) 682-1100
Website:
Map and Directions
Authorized official contact:
Name: Sievers, Richard Doctor of Medicine (MD)
Phone: (901) 682-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1316973076
LBN Legal business name Mid South Retina Associates, Llc
DBA Doing business as
Authorized official Sievers, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 24th, 2006
Last updated Feb 28th, 2023 - about 3 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 1316973076 NPPES
Arkansas MEDICAID 158632001
Arkansas Other 5C535

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