Eagle Mountain Eye Care | |
3150 Harrison St, Batesville, AR 72501-7515 | |
(870) 793-6544 | |
(870) 793-7024 |
Full Name | Eagle Mountain Eye Care |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 3150 Harrison St, Batesville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407119985 | NPI | - | NPPES |
187164722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2657 (Arkansas) | Primary |
Provider Name | Jacob P Moll |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942493234 PECOS PAC ID: 7315014271 Enrollment ID: I20080919000029 |
Provider Name | Dustin C Vance |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235445297 PECOS PAC ID: 4981887718 Enrollment ID: I20110331000527 |
Provider Name | Blaine Carson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275168213 PECOS PAC ID: 5991127631 Enrollment ID: I20200625000471 |
Mailing Address | Practice Location Address |
---|---|
Eagle Mountain Eye Care 3150 Harrison St, Batesville, AR 72501-7515 Ph: (870) 793-6544 | Eagle Mountain Eye Care 3150 Harrison St, Batesville, AR 72501-7515 Ph: (870) 793-6544 |
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