Nathan Declue, OD | |
201 Executive Ct Ste A, Little Rock, AR 72205-4536 | |
(501) 224-5658 | |
Not Available |
Full Name | Nathan Declue |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 201 Executive Ct Ste A, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598498420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2850 (Arkansas) | Primary |
Provider Name | Little Rock Eye Clinic Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992764914 PECOS PAC ID: 3476535121 Enrollment ID: O20040604000948 |
Mailing Address | Practice Location Address |
---|---|
Nathan Declue, OD 201 Executive Ct Ste A, Little Rock, AR 72205-4536 Ph: (501) 224-5658 | Nathan Declue, OD 201 Executive Ct Ste A, Little Rock, AR 72205-4536 Ph: (501) 224-5658 |
Kavanaugh Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 5600 Kavanaugh Blvd, Suite 8, Little Rock, AR 72207 Phone: 501-614-9900 | |
Anna Jane Schlesselman, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-6562 | |
Erin Paladino, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-441-3453 | |
C Klear Vision Optique Optometrist Medicare: Medicare Enrolled Practice Location: 12400 Cantrell Rd Ste 4, Little Rock, AR 72223 Phone: 501-764-8216 | |
Lauren Criswell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 Executive Ct Ste A, Little Rock, AR 72205 Phone: 501-224-5658 | |
Dr. Katie Lea Johnson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 N University Ave Ste 5and6, Little Rock, AR 72205 Phone: 501-663-1131 | |
Dr. Diana Lynne Mckenzie, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 S Bowman Rd, Little Rock, AR 72211 Phone: 501-228-3937 Fax: 501-225-4576 |