Thu Van Od Pa | |
2700 S Shackleford Rd, Little Rock, AR 72205-6918 | |
(501) 225-5580 | |
Not Available |
Full Name | Thu Van Od Pa |
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Type | Facility |
Speciality | Optometrist |
Location | 2700 S Shackleford Rd, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1154740686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2587 (Arkansas) | Primary |
Provider Name | Raymond M Carozza |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316959596 PECOS PAC ID: 4880796275 Enrollment ID: I20070505000171 |
Provider Name | Thu T Van |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356532709 PECOS PAC ID: 8022192103 Enrollment ID: I20080227000819 |
Provider Name | Gregory A Ramer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821345562 PECOS PAC ID: 1456596089 Enrollment ID: I20130401000435 |
Mailing Address | Practice Location Address |
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Thu Van Od Pa 3013 Olson Cir, Bryant, AR 72022-8153 Ph: () - | Thu Van Od Pa 2700 S Shackleford Rd, Little Rock, AR 72205-6918 Ph: (501) 225-5580 |
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 | |
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 |