| Fayetteville Eyecare Clinic | |
|
1915 N Green Acres Rd, Fayetteville, AR 72703-2617 | |
| (479) 442-8961 | |
| (479) 442-6440 |
| Full Name | Fayetteville Eyecare Clinic |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1915 N Green Acres Rd, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588999767 | NPI | - | NPPES |
| 182431722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Tasker N Rodman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316926454 PECOS PAC ID: 1850360835 Enrollment ID: I20070911000886 |
| Provider Name | John Vanderbush |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659687242 PECOS PAC ID: 4587857016 Enrollment ID: I20101018000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Eyecare Clinic 11225 Huron Ln Ste 200a, Little Rock, AR 72211-1861 Ph: (479) 442-8961 | Fayetteville Eyecare Clinic 1915 N Green Acres Rd, Fayetteville, AR 72703-2617 Ph: (479) 442-8961 |
Roger D Roberts, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 745 E Joyce Blvd Ste 124, Fayetteville, AR 72703 Phone: 795-829-1194 | |
Dr. Lance Daniel I, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4201 N Shiloh Dr, Fayetteville, AR 72703 Phone: 479-444-8704 | |
Cateon Burnside, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3689 N Steele Blvd, Fayetteville, AR 72703 Phone: 479-521-2555 | |
Dr. Brian W. Buell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4083 N Shiloh Dr, Suite One, Fayetteville, AR 72703 Phone: 479-521-7774 Fax: 479-521-4928 | |
Ramya Natarajan, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-444-5093 Fax: 479-587-6105 | |
Dr. Emma Holden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2783 N Shiloh Dr, Fayetteville, AR 72704 Phone: 479-755-4510 | |
Dr. Marcus Cooke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 N College Ave, Eye Clinic, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-6105 |