Arkansas Vision Development Center Pa | |
1021 S Waldron Rd, Fort Smith, AR 72903-2549 | |
(479) 478-8860 | |
(479) 478-8890 |
Full Name | Arkansas Vision Development Center Pa |
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Type | Facility |
Speciality | Optometrist - Vision Therapy |
Location | 1021 S Waldron Rd, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942326244 | NPI | - | NPPES |
49907 | Other | AR | MEDICARE PTAN |
158686722 | Medicaid | AR | |
1942326244 | Other | AR | NPI GROUP |
200057240A | Medicaid | OK | |
1447387170 | Other | AR | NPI INDIVIDUAL |
200055390A | Medicaid | OK | |
5F232 | Other | AR | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WV0400X | Optometrist - Vision Therapy | 2554 (Arkansas) | Primary |
Provider Name | Wanda Vaughn |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447387170 PECOS PAC ID: 3173574910 Enrollment ID: I20050317000113 |
Provider Name | Cameron Boboth |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043733744 PECOS PAC ID: 9234494055 Enrollment ID: I20180529001416 |
Provider Name | Katherine M Ramey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194203067 PECOS PAC ID: 3476895640 Enrollment ID: I20190509000085 |
Provider Name | Heather M Snyder |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457905903 PECOS PAC ID: 7810329422 Enrollment ID: I20191120002671 |
Provider Name | Kristina Cari Flaig |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578145769 PECOS PAC ID: 2961808712 Enrollment ID: I20210902002405 |
Provider Name | Bryley Jae Banks |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124864111 PECOS PAC ID: 9032658257 Enrollment ID: I20240830002693 |
Mailing Address | Practice Location Address |
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Arkansas Vision Development Center Pa 1021 S Waldron Rd, Fort Smith, AR 72903-2549 Ph: (479) 478-8860 | Arkansas Vision Development Center Pa 1021 S Waldron Rd, Fort Smith, AR 72903-2549 Ph: (479) 478-8860 |
Dr. Clemit W Liles Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2425 S Zero St, Fort Smith, AR 72901 Phone: 479-763-1230 Fax: 479-777-4614 | |
Dr. Cameron Fredrick Boboth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1021 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-478-8860 Fax: 479-478-8860 | |
J Steven Yaney Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4300 Rogers Ave, Greenpointe Center Suite 46, Fort Smith, AR 72903 Phone: 479-785-0010 Fax: 479-782-8478 | |
Dr. Bryley Jae Banks, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1021 S Waldron Rd, Fort Smith, AR 72903 Phone: 417-629-0505 | |
Dr. Mark Allen Horne, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5111 Rogers Ave Ste 54, Fort Smith, AR 72903 Phone: 479-452-0928 Fax: 479-452-0978 | |
Eye Group, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7901 Dallas St, Fort Smith, AR 72903 Phone: 479-782-8892 Fax: 479-782-8840 |