C Michael Fletcher Od Pa
LBN: C Michael Fletcher Od Pa
C Michael Fletcher Od Pa is an health care organization with primary practice located at 1817 Executive Sq , Jonesboro AR 72401-6086. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
C Michael Fletcher Od Pa can be contacted via phone (870) 930-9200, or through Fletcher, Charles M via phone (870) 930-9200.
Contact Information
Primary practice address
1817 Executive Sq
Jonesboro AR 72401-6086
Phone: (870) 930-9200
Fax:
Website:
Authorized official contact:
Name: Fletcher, Charles M Doctor of Optometry (OD)
Phone: (870) 930-9200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2392 | Arkansas |
Profile Details
| NPI number | 1750555660 |
|---|---|
| LBN Legal business name | C Michael Fletcher Od Pa |
| DBA Doing business as | |
| Authorized official | Fletcher, Charles M Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750555660 | NPPES |
| Arkansas | Other | 48346 | BCBS |
| Arkansas | MEDICAID | 184670722 | BCBS |
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