| Custom Eyes Vision Care Of Newport, Inc | |
|
1920 Malcolm Ave, Newport, AR 72112-3628 | |
| (870) 882-3530 | |
| (855) 838-5851 |
| Full Name | Custom Eyes Vision Care Of Newport, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1920 Malcolm Ave, Newport, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598937328 | NPI | - | NPPES |
| 23406722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Gavin Trent Mcdowell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154330637 PECOS PAC ID: 0446352249 Enrollment ID: I20070226000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Eyes Vision Care Of Newport, Inc 1920 Malcolm Ave, Newport, AR 72112-3628 Ph: (870) 523-3333 | Custom Eyes Vision Care Of Newport, Inc 1920 Malcolm Ave, Newport, AR 72112-3628 Ph: (870) 882-3530 |
Dr. Jason Deon Gates, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 N Harwood St, Newport, AR 72112 Phone: 870-523-3200 Fax: 870-523-3204 | |
Frank Love Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 915 Malcolm Ave, Newport, AR 72112 Phone: 870-523-6258 Fax: 870-523-8988 | |
Dr. Gavin Trent Mcdowell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1920 Malcolm Ave, Newport, AR 72112 Phone: 870-523-3333 Fax: 855-838-5851 | |
Gates Eye Care Center, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 200 N Harwood St, Newport, AR 72112 Phone: 870-523-3200 Fax: 870-523-3204 | |
Tasker N. Rodman, Ii Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2101 Malcolm Ave, Newport, AR 72112 Phone: 870-523-3333 Fax: 870-523-2379 |