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SOUTHERN EYE ASSOCIATES LTD NPI 1669486528


NPI Information

NPI: 1669486528
Provider Name: SOUTHERN EYE ASSOCIATES LTD
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
601 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 935-6396
Get Directions

SOUTHERN EYE ASSOCIATES LTD 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. SOUTHERN EYE ASSOCIATES LTD NPI is 1669486528. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401-145
Phone: (870) 935-6396
Fax: (870) 935-4063

The provider's authorized official is Kelly E Chronister .
The authorized official title is Administrator and has the following contact phone number (870) 935-6396.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 9/2/2015.


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
1152W00000XOptometristMC-1284ARKANSASNo
2207W00000XOphthalmologyMC-1284ARKANSASYes

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
1CT1713OTHERARKANSASRAILROAD MEDICARE
2116840002MEDICAIDARKANSAS
3503329807OTHERMISSOURIMISSOURI MEDICAID
457933MEDICARE PINARKANSAS

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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