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SIMMONS EYE CARE CLINIC P.A. NPI 1598753279


NPI Information

NPI: 1598753279
Provider Name: SIMMONS EYE CARE CLINIC, P.A.
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
113 W CARPENTER ST
BENTON, AR
ZIP 72015
Phone: (501) 778-2363
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SIMMONS EYE CARE CLINIC, P.A. is an optometrist in Benton, AR. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. SIMMONS EYE CARE CLINIC, P.A. NPI is 1598753279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

113 W CARPENTER ST
BENTON, AR
ZIP 72015-317
Phone: (501) 778-2363
Fax: (501) 778-5329

The provider's authorized official is Russell T. Simmons .
The authorized official title is Vice President and has the following contact phone number (501) 778-2363.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 5/12/2008.


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
1152W00000XOptometrist2329ARKANSASYes

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
15C199MEDICARE ID-TYPE UNSPECIFIEDARKANSASCLINIC #
2U17397MEDICARE UPINARKANSAS
348290MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE #
448434MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE #
5T20195MEDICARE UPINARKANSAS
6119106722MEDICAIDARKANSAS
749956OTHERARKANSASMEDICARE ID#
8V09938MEDICARE UPINARKANSAS
9105507022MEDICAIDARKANSAS
100250800001MEDICARE NSCARKANSAS
11139616722MEDICAIDARKANSAS
12161893722MEDICAIDARKANSAS
130250800001OTHERARKANSASPALMETTO DURABLE MEDICAL EQUIPMENT

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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