Mcdonald Eye Associates | |
3689 N Steele Blvd, Fayetteville, AR 72703-5347 | |
(479) 521-2555 | |
(479) 521-6761 |
Full Name | Mcdonald Eye Associates |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3689 N Steele Blvd, 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 |
---|---|---|---|
1407850217 | NPI | - | NPPES |
127505722 | Medicaid | AR | |
127513002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Arkansas) | Secondary |
207W00000X | Ophthalmology | (Arkansas) | Primary |
Provider Name | Chad L Betts |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1215971106 PECOS PAC ID: 4183620933 Enrollment ID: I20061018000408 |
Provider Name | Jessalyn Halsted |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174879233 PECOS PAC ID: 8820248826 Enrollment ID: I20121029000688 |
Provider Name | Elissa Kathleen Bostian |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033551437 PECOS PAC ID: 0345483160 Enrollment ID: I20130827000403 |
Provider Name | Christen J Coats |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568812345 PECOS PAC ID: 5698053809 Enrollment ID: I20161022000129 |
Provider Name | Eddie A Mengarelli |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609211234 PECOS PAC ID: 7618257841 Enrollment ID: I20170816001599 |
Provider Name | Paul Van Nguyen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962998773 PECOS PAC ID: 3779833512 Enrollment ID: I20180829001491 |
Provider Name | Alan D Grover |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760672331 PECOS PAC ID: 7810077419 Enrollment ID: I20190531001598 |
Provider Name | Tiffanie Nguyen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295427870 PECOS PAC ID: 0345602363 Enrollment ID: I20230808002408 |
Mailing Address | Practice Location Address |
---|---|
Mcdonald Eye Associates 3689 N Steele Blvd, Fayetteville, AR 72703-5347 Ph: (479) 521-2555 | Mcdonald Eye Associates 3689 N Steele Blvd, Fayetteville, AR 72703-5347 Ph: (479) 521-2555 |