Arkansas Eye Care Group

LBN: Shane E. Ford Od Pa
Arkansas Eye Care Group is an health care organization with primary practice located at 3005 Fountain Drive , Conway AR 72034-3684. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Shane E. Ford Od Pa can be contacted via phone (501) 329-9851, or through Ford, Shane via phone (501) 329-9851.

Contact Information

Primary practice address
3005 Fountain Drive Conway AR 72034-3684
Phone: (501) 329-9851
Fax: (501) 329-9854
Website:
Map and Directions
Authorized official contact:
Name: Ford, Shane Doctor of Optometry (OD)
Phone: (501) 329-9851

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X PC114 Arkansas

Profile Details

NPI number 1033178736
LBN Legal business name Shane E. Ford Od Pa
DBA Doing business as Arkansas Eye Care Group
Authorized official Ford, Shane Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Jan 30th, 2008 - about 18 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 1033178736 NPPES
Arkansas MEDICAID 148570722

Popular Providers