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317 East Parkway Drive, Russellville, AR 72801-3915 | |
| (479) 967-6113 | |
| (479) 968-6932 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 317 East Parkway Drive, Russellville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669512943 | NPI | - | NPPES |
| 5F421 | Other | AR | BLUE CROSS BLUE SHIELD |
| 124538722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Amy J Daiber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609926344 PECOS PAC ID: 9234156076 Enrollment ID: I20051031000736 |
| Provider Name | Lori J Canfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083752570 PECOS PAC ID: 8820016066 Enrollment ID: I20051107000680 |
| Mailing Address | Practice Location Address |
|---|---|
317 East Parkway Drive, Russellville, AR 72801-3915 Ph: (479) 967-6113 | 317 East Parkway Drive, Russellville, AR 72801-3915 Ph: (479) 967-6113 |
Anne Snider, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2409 E Main, Russellville, AR 72802 Phone: 479-967-0600 Fax: 479-967-0610 | |
Dr. Lori J Canfield, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 317 East Parkway Drive, Daiber Vision Care, Russellville, AR 72801 Phone: 479-967-6113 Fax: 479-968-6932 | |
Scott Eye Clinic Pa Optometrist Medicare: Medicare Enrolled Practice Location: 214 E 4th St, Russellville, AR 72801 Phone: 479-968-3937 Fax: 479-967-6731 | |
Dr. Eryn Lewis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2800 W Main St, Russellville, AR 72801 Phone: 479-968-2020 | |
Robertson Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 2424 W Main St, Russellville, AR 72801 Phone: 501-844-9130 | |
Dr. Melia Ray Robertson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2424 W Main St, Russellville, AR 72801 Phone: 479-728-0199 Fax: 479-280-1993 | |
Family Eye Care Of Russellville Optometrist Medicare: Medicare Enrolled Practice Location: 2409 E Main St, Russellville, AR 72802 Phone: 479-967-0600 |