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EYE ASSOCIATES LEASING COMPANY INCORPORATED NPI 1922077304


NPI Information

NPI: 1922077304
Provider Name: EYE ASSOCIATES LEASING COMPANY INCORPORATED

Doing Business As: BOOZMAN-HOF OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 04D0911561

Address:
25 CUNNINGHAM COR
BELLA VISTA, AR
ZIP 72714
Phone: (479) 246-1730
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EYE ASSOCIATES LEASING COMPANY INCORPORATED is an eyewear supplier in Bella Vista, AR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE ASSOCIATES LEASING COMPANY INCORPORATED NPI is 1922077304. The provider is registered as an organization entity type.
The provider Is Doing Business As Boozman-hof Optical.

The provider's business location address is:

25 CUNNINGHAM COR
BELLA VISTA, AR
ZIP 72714-520
Phone: (479) 246-1730
Fax: (479) 936-8799

The provider's authorized official is Randal E. Cole .
The authorized official title is President/ceo and has the following contact phone number (479) 246-1700.

The CLIA number assigned to this NPI record is 04D0911561 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 8/22/2013.


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 SupplierYes

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
10346340002MEDICARE NSCARKANSAS
2101176716MEDICAIDARKANSAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.