| |
3312 S 70th St, Fort Smith, AR 72903-5052 | |
(479) 452-7800 | |
(479) 452-9486 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3312 S 70th St, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003877150 | NPI | - | NPPES |
100177380B | Medicaid | OK | |
152215002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Adam M Schluterman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316102437 PECOS PAC ID: 8628121688 Enrollment ID: I20090810000035 |
Provider Name | Parker Edwards Pratt |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154807162 PECOS PAC ID: 0244588416 Enrollment ID: I20180803000967 |
Provider Name | Christopher Joel Rodriguez |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942573639 PECOS PAC ID: 1759655400 Enrollment ID: I20200521001436 |
Provider Name | Joseph L Zimmer |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063048098 PECOS PAC ID: 8729409552 Enrollment ID: I20240518000101 |
Mailing Address | Practice Location Address |
---|---|
3312 S 70th St, Fort Smith, AR 72903-5052 Ph: (479) 452-7800 | 3312 S 70th St, Fort Smith, AR 72903-5052 Ph: (479) 452-7800 |