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PETER CHU OD NPI 1801065560


NPI Information

NPI: 1801065560
Provider Name: PETER CHU OD
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
144 S MAIN ST
EUDORA, AR
ZIP 71640
Phone: (870) 355-4414
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PETER CHU OD is an eyewear supplier in Eudora, AR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PETER CHU OD NPI is 1801065560. The provider is registered as an organization entity type.

The provider's business location address is:

144 S MAIN ST
EUDORA, AR
ZIP 71640-059
Phone: (870) 355-4414

The provider's authorized official is Peter Chu .
The authorized official title is Owner/od and has the following contact phone number (870) 355-4414.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 2/27/2008.


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
1332H00000XEyewear Supplier2354ARKANSASYes

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
10276100001MEDICARE 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: 4/28/2024

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