Martha Ellen Myers, O.D. Pa

LBN: Martha Ellen Myers, O.D. Pa
Martha Ellen Myers, O.D. Pa is an health care organization with primary practice located at 2875 W 6Th St , Fayetteville AR 72704-7625. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Martha Ellen Myers, O.D. Pa can be contacted via phone (479) 527-9790, or through Myers, Martha Ellen via phone (479) 527-9790.

Contact Information

Primary practice address
2875 W 6Th St Fayetteville AR 72704-7625
Phone: (479) 527-9790
Fax: (479) 527-9792
Website:
Map and Directions
Authorized official contact:
Name: Myers, Martha Ellen Doctor of Optometry (OD)
Phone: (479) 527-9790

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2490 Arkansas

Profile Details

NPI number 1649289265
LBN Legal business name Martha Ellen Myers, O.D. Pa
DBA Doing business as
Authorized official Myers, Martha Ellen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 25th, 2011 - about 14 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 1649289265 NPPES
Arkansas MEDICAID 154135722

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