Brian W Buell Eye Care Pa

LBN: Brian W Buell Eye Care Pa
Brian W Buell Eye Care Pa is an health care organization with primary practice located at 4083 N Shiloh Dr Suite One, Fayetteville AR 72703-5300. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Brian W Buell Eye Care Pa can be contacted via phone (479) 521-7774, or through Buell, Brian via phone (479) 521-7774.

Contact Information

Primary practice address
4083 N Shiloh Dr Suite One Fayetteville AR 72703-5300
Phone: (479) 521-7774
Fax: (479) 521-4928
Website:
Map and Directions
Authorized official contact:
Name: Buell, Brian O.P.
Phone: (479) 521-7774

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X PC-055 Arkansas

Profile Details

NPI number 1356614556
LBN Legal business name Brian W Buell Eye Care Pa
DBA Doing business as
Authorized official Buell, Brian O.P.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2012
Last updated Feb 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356614556 NPPES
Arkansas MEDICAID 106357722

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