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PLEASANT VALLEY OPHTHALMOLOGY PLLC NPI 1912949785


NPI Information

NPI: 1912949785
Provider Name: PLEASANT VALLEY OPHTHALMOLOGY, PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
11825 HINSON RD
STE. 103
LITTLE ROCK, AR
ZIP 72212
Phone: (501) 223-3937
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PLEASANT VALLEY OPHTHALMOLOGY, PLLC is an ophthalmology in Little Rock, AR. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PLEASANT VALLEY OPHTHALMOLOGY, PLLC NPI is 1912949785. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11825 HINSON RD
STE. 103
LITTLE ROCK, AR
ZIP 72212-404
Phone: (501) 223-3937
Fax: (501) 223-8656

The provider's authorized official is Susan Diane Blair .
The authorized official title is Owner Physician and has the following contact phone number (501) 223-3937.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 10/27/2014.


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
1207W00000XOphthalmologyYes

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
1CJ3133OTHERARKANSASRR MEDICARE GROUP #
25B955MEDICARE ID-TYPE UNSPECIFIEDARKANSASPAY-TO PROVIDER NUMBER

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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