VISION GROUP ASC LLC NPI 1902860679

NPI Information

NPI: 1902860679
Provider Name: VISION GROUP ASC, LLC

Other Name: ADVANCED CATARACT & LASER CENTER

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

CLIA Number: 04D1041984

Address:
3002 ROGERS AVE
FORT SMITH, AR
ZIP 72901
Phone: (479) 782-8892
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VISION GROUP ASC, LLC is an ophthalmologic surgery clinic center in Fort Smith, AR. VISION GROUP ASC, LLC NPI is 1902860679. The provider is registered as an organization entity type.
The provider Other Name Is Advanced Cataract & Laser Center.

The provider's business location address is:

3002 ROGERS AVE
FORT SMITH, AR
ZIP 72901-232
Phone: (479) 782-8892
Fax: (479) 782-8840

The provider's authorized official is Claire B. Price .
The authorized official title is Chief Of Staff and has the following contact phone number (479) 782-8892.

The CLIA number assigned to this NPI record is 04D1041984 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 2/23/2010.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	MC1632	ARKANSAS	No
2	261QS0132X	Clinic/Center	Ophthalmologic Surgery	AR4308	ARKANSAS	Yes

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
1	11065	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	MEDICARE PROVIDER NUMBER
2	=========	OTHER		TRICARE
3	200085810A	MEDICAID	OKLAHOMA
4	P00287824	OTHER	ARKANSAS	RAILROAD MEDICARE
5	AR4308	OTHER	ARKANSAS	LICENCE NUMBER
6	159454128	MEDICAID	ARKANSAS

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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