ARKANSAS VISION DEVELOPMENT CENTER PA NPI 1942326244

NPI Information

  • NPI: 1942326244
  • Provider Name: ARKANSAS VISION DEVELOPMENT CENTER PA
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Organization
  • CLIA Number: 04D1011778
  • Address: 1021 S WALDRON RD
    FORT SMITH, AR
    ZIP 72903
  • Phone: (479) 478-8860

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NPI Details

ARKANSAS VISION DEVELOPMENT CENTER PA is a vision therapy optometrist in Fort Smith, AR. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. ARKANSAS VISION DEVELOPMENT CENTER PA NPI is 1942326244. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1021 S WALDRON RD
FORT SMITH, AR
ZIP 72903-549
Phone: (479) 478-8860
Fax: (479) 478-8890

The provider's authorized official is Wanda Vaughn .
The authorized official title is Optometrist and has the following contact phone number (479) 478-8860.

The CLIA number assigned to this NPI record is 04D1011778 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 4/16/2025.

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
1152WV0400XOptometristVision Therapy2554ARKANSASYes

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
11447387170OTHERARKANSASNPI INDIVIDUAL
21942326244OTHERARKANSASNPI GROUP
35F232OTHERARKANSASGROUP PTAN
4158686722MEDICAIDARKANSAS
5200055390AMEDICAIDOKLAHOMA
6200057240AMEDICAIDOKLAHOMA
749907OTHERARKANSASMEDICARE PTAN

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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