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VOLD VISION PLLC NPI 1558657619


NPI Information

NPI: 1558657619
Provider Name: VOLD VISION PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2783 N SHILOH DR
FAYETTEVILLE, AR
ZIP 72704
Phone: (479) 442-8653
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VOLD VISION PLLC is an ophthalmology in Fayetteville, 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. VOLD VISION PLLC NPI is 1558657619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2783 N SHILOH DR
FAYETTEVILLE, AR
ZIP 72704-983
Phone: (479) 442-8653
Fax: (479) 442-2678

The provider's authorized official is Doreen Brock .
The authorized official title is Cfo and has the following contact phone number (479) 442-8653.

The enumeration date for this NPI number is 6/27/2011 and was last updated on 9/10/2019.


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
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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
1197335002MEDICAIDARKANSAS
2234819722MEDICAIDARKANSAS

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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