| |
8301 Rogers Ave Doctor's Office Fort Smith AR 72903-5236 | |
(479) 452-1580 | |
(479) 452-6910 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 8301 Rogers Ave, Fort Smith, Arkansas |
Authorized Official Name and Position | Bill Keating (OWNER) |
Authorized Official Contact | 4794521580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 10957 Fort Smith AR 72917-0957 Ph: (479) 452-1580 | 8301 Rogers Ave Doctor's Office Fort Smith AR 72903-5236 Ph: (479) 452-1580 |
NPI Number | 1033528518 |
---|---|
Provider Enumeration Date | 08/08/2014 |
Last Update Date | 08/08/2014 |
Medicare PECOS PAC ID | 2567680390 |
---|---|
Medicare Enrollment ID | O20140820000831 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033528518 | NPI | - | NPPES |
132180722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | AR2463 (Arkansas) | Primary |
Provider Name | Bill Keating |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205935111 PECOS PAC ID: 2466410139 Enrollment ID: I20041228000509 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |