Berryville Eyecare Clinic | |
404 W College Ave, Berryville, AR 72616-3142 | |
(870) 423-2576 | |
(870) 423-6750 |
Full Name | Berryville Eyecare Clinic |
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Type | Facility |
Speciality | Optometrist |
Location | 404 W College Ave, Berryville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427194919 | NPI | - | NPPES |
166252722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Gavin Trent Mcdowell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154330637 PECOS PAC ID: 0446352249 Enrollment ID: I20070226000381 |
Provider Name | Tasker N Rodman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316926454 PECOS PAC ID: 1850360835 Enrollment ID: I20070911000886 |
Provider Name | Michael A. Law |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750606570 PECOS PAC ID: 4880722198 Enrollment ID: I20100506000945 |
Mailing Address | Practice Location Address |
---|---|
Berryville Eyecare Clinic 11225 Huron Ln Ste 200a, Little Rock, AR 72211-1861 Ph: (870) 423-2576 | Berryville Eyecare Clinic 404 W College Ave, Berryville, AR 72616-3142 Ph: (870) 423-2576 |
Squires Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 S Springfield St, Berryville, AR 72616 Phone: 870-423-2576 | |
Dr. Michael Law, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 W College Ave, Berryville, AR 72616 Phone: 870-423-2576 Fax: 870-423-6750 | |
Dr. Maribeth Squires, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 S. Springfield St., Berryville, AR 72616 Phone: 870-423-2576 Fax: 870-423-6750 |