| Brandon Eye Clinic Pllc | |
|
1600 W Sunset Ave, Springdale, AR 72762-5136 | |
| (479) 756-1234 | |
| (479) 756-1087 |
| Full Name | Brandon Eye Clinic Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1600 W Sunset Ave, Springdale, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417067687 | NPI | - | NPPES |
| 17274000040 | Other | AR | QUALCHOICE |
| 189802722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | PC-124 (Arkansas) | Primary |
| Provider Name | Philip F Brandon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417067752 PECOS PAC ID: 0547283004 Enrollment ID: I20060111000837 |
| Provider Name | Elissa Kathleen Bostian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033551437 PECOS PAC ID: 0345483160 Enrollment ID: I20130827000403 |
| Provider Name | Megan Dawn Provence-perry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598179715 PECOS PAC ID: 1355561960 Enrollment ID: I20150821012856 |
| Provider Name | Nicholas Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184172207 PECOS PAC ID: 5496099806 Enrollment ID: I20181211002736 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Eye Clinic Pllc 1600 W Sunset Ave, Springdale, AR 72762-5136 Ph: (479) 756-1234 | Brandon Eye Clinic Pllc 1600 W Sunset Ave, Springdale, AR 72762-5136 Ph: (479) 756-1234 |
Dr. Elissa Bostian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1600 W Sunset Ave Ste A, Springdale, AR 72762 Phone: 479-756-1234 Fax: 479-756-1180 | |
Dr. Micah J Thomason, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1127 S Gutensohn Rd, Suite 101, Springdale, AR 72762 Phone: 479-750-3937 Fax: 479-750-3943 | |
Dr. Kelsey White, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1517 Gene George Blvd, Springdale, AR 72762 Phone: 479-235-6685 Fax: 479-231-1386 | |
Dr. Nicholas Dane Taylor, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1600 W Sunset Ave, Springdale, AR 72762 Phone: 479-756-1234 | |
Ozark Eyes Optometrist Medicare: Medicare Enrolled Practice Location: 7058 W Sunset Ave, Suite #3, Springdale, AR 72762 Phone: 479-361-9933 Fax: 479-361-9937 | |
Dr. Aleece Marie Dietz, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1210 Jtl Pkwy E Ste 103, Springdale, AR 72762 Phone: 479-777-2697 Fax: 479-763-3212 | |
Dr. Wesley M Andersen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3291 S Thompson St Ste C101, Springdale, AR 72764 Phone: 479-751-3937 |