RETINA CENTER OF ARKANSAS PLLC NPI 1821681107

NPI Information

RETINA CENTER OF ARKANSAS PLLC is a retina specialist ophthalmology in Fayetteville, AR. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA CENTER OF ARKANSAS PLLC NPI is 1821681107. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1794 E JOYCE BLVD STE 3
FAYETTEVILLE, AR
ZIP 72703-257
Phone: (479) 234-4499

The provider's authorized official is John Dellacroce .
The authorized official title is Physician and has the following contact phone number (479) 419-9393.

The CLIA number assigned to this NPI record is 04D2241694 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2021 and was last updated on 9/6/2022.

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:

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