Scott Eye Clinic Pa

LBN: Scott Eye Clinic Pa
Scott Eye Clinic Pa is an health care organization with primary practice located at 214 E 4Th St , Russellville AR 72801-5134. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Scott Eye Clinic Pa can be contacted via phone (479) 968-3937, or through Scott, Henry Keith via phone (479) 968-3937.

Contact Information

Primary practice address
214 E 4Th St Russellville AR 72801-5134
Fax: (479) 967-6731
Website:
Authorized official contact:
Name: Scott, Henry Keith Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2349 Arkansas

Profile Details

NPI number 1114115433
LBN Legal business name Scott Eye Clinic Pa
DBA Doing business as
Authorized official Scott, Henry Keith Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2007
Last updated Feb 12th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114115433 NPPES
Arkansas MEDICAID 148782722
Arkansas Other 1114115433
Arkansas MEDICAID 146049722

Popular Providers