Justus Vision Center | |
1023 S Main St, Malvern, AR 72104-5222 | |
(501) 332-6262 | |
(501) 337-0373 |
Full Name | Justus Vision Center |
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Type | Facility |
Speciality | Optometrist |
Location | 1023 S Main St, Malvern, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902383631 | NPI | - | NPPES |
232911722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Tasker N Rodman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316926454 PECOS PAC ID: 1850360835 Enrollment ID: I20070911000886 |
Provider Name | George C Cora |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417479452 PECOS PAC ID: 7618240425 Enrollment ID: I20181003003761 |
Mailing Address | Practice Location Address |
---|---|
Justus Vision Center 11225 Huron Ln Ste 200a, Little Rock, AR 72211-1861 Ph: (501) 225-9944 | Justus Vision Center 1023 S Main St, Malvern, AR 72104-5222 Ph: (501) 332-6262 |
Dr. Griffin Smith, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1120 S Main St, Malvern, AR 72104 Phone: 501-332-2012 Fax: 501-332-8403 | |
Dr. George C Cora, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1023 S Main St, Malvern, AR 72104 Phone: 501-332-6262 Fax: 501-337-0373 | |
Justus Vision Center P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1023 S Main St, Malvern, AR 72104 Phone: 501-332-6262 Fax: 501-337-0373 | |
Thomas G Justus, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1023 S Main Street, Malvern, AR 72104 Phone: 501-332-6262 Fax: 501-337-0373 |