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BOOZMAN-HOF REGIONAL EYE CLINIC PA NPI 1558320325


NPI Information

NPI: 1558320325
Provider Name: BOOZMAN-HOF REGIONAL EYE CLINIC PA

Doing Business As: BOOZMAN-HOF OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3737 W WALNUT ST
ROGERS, AR
ZIP 72756
Phone: (479) 246-1730
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BOOZMAN-HOF REGIONAL EYE CLINIC PA is an eyewear supplier in Rogers, AR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BOOZMAN-HOF REGIONAL EYE CLINIC PA NPI is 1558320325. The provider is registered as an organization entity type.
The provider Is Doing Business As Boozman-hof Optical.

The provider's business location address is:

3737 W WALNUT ST
ROGERS, AR
ZIP 72756-839
Phone: (479) 246-1730
Fax: (479) 936-8799

The provider's authorized official is Chastity Jackman .
The authorized official title is Credentialing Manager and has the following contact phone number (479) 246-1700.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 3/15/2022.


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
1332H00000XEyewear SupplierYes

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
1101176716MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.