ROGERS AR OPHTHALMOLOGY ASC LLC NPI 1780658245

NPI Information

ROGERS AR OPHTHALMOLOGY ASC LLC is an ambulatory surgical clinic center in Rogers, AR. ROGERS AR OPHTHALMOLOGY ASC LLC NPI is 1780658245. The provider is registered as an organization entity type.
The provider Is Doing Business As Boozman-hof Eye Surgery & Laser Center.

The provider's business location address is:

3737 W WALNUT ST
ROGERS, AR
ZIP 72756-839
Phone: (479) 246-1751
Fax: (479) 631-2702

The provider's authorized official is Jeff Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 04D0911562 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 9/30/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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