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VISION CARE CENTER OF NORTHEAST ARKANSAS LLC NPI 1447288097


NPI Information

NPI: 1447288097
Provider Name: VISION CARE CENTER OF NORTHEAST ARKANSAS LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
623 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 932-2211
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VISION CARE CENTER OF NORTHEAST ARKANSAS LLC is an ophthalmology in Jonesboro, AR. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. VISION CARE CENTER OF NORTHEAST ARKANSAS LLC NPI is 1447288097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

623 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401-145
Phone: (870) 932-2211
Fax: (870) 972-5152

The provider's authorized official is Michelle Bacot .
The authorized official title is Administrator and has the following contact phone number (870) 932-2211.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 9/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1142619002MEDICAIDARKANSAS
2142990722MEDICAIDARKANSAS
31280240001MEDICARE NSCARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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