Dr Lori J Canfield, OD | |
317 East Parkway Drive, Daiber Vision Care, Russellville, AR 72801-3915 | |
(479) 967-6113 | |
(479) 968-6932 |
Full Name | Dr Lori J Canfield |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 23 Years |
Location | 317 East Parkway Drive, Russellville, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083752570 | NPI | - | NPPES |
7069287 | Other | AETNA | |
49790 | Other | AR | ARKANSAS BCBS |
145334722 | Medicaid | AR | |
06020018300 | Other | AR | QUALCHOICE |
AR2522 | Other | AR | EYEMED |
A003 | Other | AR | TRICARE |
AR0033029 | Other | AR | HUMANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | AR2522 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Amy J S Daiber Od Pa | 9032164017 | 2 |
Provider Name | Amy J S Daiber Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669512943 PECOS PAC ID: 9032164017 Enrollment ID: O20051103001212 |
Mailing Address | Practice Location Address |
---|---|
Dr Lori J Canfield, OD 317 East Parkway Drive, Russellville, AR 72801-3915 Ph: (479) 967-6113 | Dr Lori J Canfield, OD 317 East Parkway Drive, Daiber Vision Care, Russellville, AR 72801-3915 Ph: (479) 967-6113 |
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