CHRIS DEITRICK OD PA NPI 1780773481

NPI Information

  • NPI: 1780773481
  • Provider Name: CHRIS DEITRICK OD PA
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Organization
  • Doing Business As: MOUNTAIN VIEW EYE CARE
  • Address: 202 PEABODY ST
    MOUNTAIN VIEW, AR
    ZIP 72560
  • Phone: (870) 269-3610

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NPI Details

CHRIS DEITRICK OD PA is a corneal and contact management optometrist in Mountain View, AR. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. CHRIS DEITRICK OD PA NPI is 1780773481. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain View Eye Care.

The provider's business location address is:

202 PEABODY ST
MOUNTAIN VIEW, AR
ZIP 72560-460
Phone: (870) 269-3610
Fax: (870) 269-5086

The provider's authorized official is Lanette Lee .
The authorized official title is Office Manager and has the following contact phone number (870) 269-3610.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 2/20/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management2516ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15C763MEDICARE PINARKANSAS
2CK7118MEDICARE PINARKANSAS
34709560001MEDICARE NSCARKANSAS

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: 11/21/2025

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