Decker, Bobby
Decker, Bobby is an individual health care provider with primary practice located at 813 W Central Ave Suite 5, Bentonville AR 72712-5787. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Decker, Bobby can be contacted via phone (479) 855-0009.Contact Information
Primary practice address
813 W Central Ave Suite 5
Bentonville AR 72712-5787
Phone: (479) 855-0009
Fax: (479) 876-7105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2518 | Arkansas |
Profile Details
| NPI number | 1245234103 |
|---|---|
| LBN Legal business name | Decker, Bobby |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Dec 20th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245234103 | NPPES |
| Arkansas | MEDICAID | 145384722 |
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