Boozman-hof Regional Eye Clinic Pa | |
3737 W. Walnut, Rogers, AR 72757-1353 | |
(479) 246-1700 | |
(479) 631-2629 |
Full Name | Boozman-hof Regional Eye Clinic Pa |
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Type | Facility |
Speciality | Ophthalmology |
Location | 3737 W. Walnut, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548234669 | NPI | - | NPPES |
112304722 | Medicaid | AR | |
101143002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Arkansas) | Secondary |
207W00000X | Ophthalmology | (Arkansas) | Primary |
Provider Name | C.scott Woodward |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992779938 PECOS PAC ID: 2567586514 Enrollment ID: I20100828000023 |
Provider Name | Daniel T Sines |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508028218 PECOS PAC ID: 7810043858 Enrollment ID: I20110906000545 |
Provider Name | Michael Ray Waggoner |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295963999 PECOS PAC ID: 2365685229 Enrollment ID: I20141022000498 |
Provider Name | Mary C Sullivan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871935122 PECOS PAC ID: 7618199316 Enrollment ID: I20141113000982 |
Provider Name | Austin P Bell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093008302 PECOS PAC ID: 5294971743 Enrollment ID: I20160616000101 |
Provider Name | Samantha Devlin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750732616 PECOS PAC ID: 0648545475 Enrollment ID: I20180626001471 |
Provider Name | Stephanie Stanley Moss |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043747595 PECOS PAC ID: 0941566947 Enrollment ID: I20180627003190 |
Provider Name | Andrew James Hickman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407342371 PECOS PAC ID: 1658629936 Enrollment ID: I20180802001334 |
Provider Name | Ryan Bunch |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306225214 PECOS PAC ID: 2769762756 Enrollment ID: I20210315001474 |
Provider Name | Kory A Allen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992385009 PECOS PAC ID: 3375931413 Enrollment ID: I20220803003161 |
Provider Name | Mellinda Stewart |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104490044 PECOS PAC ID: 9234511270 Enrollment ID: I20220808000830 |
Provider Name | Rebecca Jane Simmons Brown |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023897253 PECOS PAC ID: 5597104323 Enrollment ID: I20240412003067 |
Mailing Address | Practice Location Address |
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Boozman-hof Regional Eye Clinic Pa 3737 W. Walnut, P.o. Box 1353, Rogers, AR 72757-1353 Ph: (479) 246-1700 | Boozman-hof Regional Eye Clinic Pa 3737 W. Walnut, Rogers, AR 72757-1353 Ph: (479) 246-1700 |