Ivory A. Kinslow, Mdpa Optical
LBN: Ivory A. Kinslow, Mdpa
Ivory A. Kinslow, Mdpa Optical is an health care organization with primary practice located at 310 Thompson Ave , El Dorado AR 71730-4569. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Ivory A. Kinslow, Mdpa can be contacted via phone (870) 862-2340, or through Winn, Sharon via phone (870) 862-2340.
Contact Information
Primary practice address
310 Thompson Ave
El Dorado AR 71730-4569
Phone: (870) 862-2340
Fax: (870) 862-2548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2574 | Arkansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C7743 | Arkansas |
Profile Details
| NPI number | 1184172579 |
|---|---|
| LBN Legal business name | Ivory A. Kinslow, Mdpa |
| DBA Doing business as | Ivory A. Kinslow, Mdpa Optical |
| Authorized official | Winn, Sharon |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 14th, 2016 |
| Last updated | Mar 5th, 2024 - about last year |
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 | 1184172579 | NPPES |
| Arkansas | Other | 1376986539 | ORGANIZAN NPI |
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