Moulton Optical Department

LBN: Moulton Optical Department
Moulton Optical Department is an health care organization with primary practice located at 5518 Ellsworth Rd , Fort Smith AR 72903-3222. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Moulton Optical Department can be contacted via phone (479) 646-3937, or through Moulton, Everett Crockett via phone (479) 646-3937.

Contact Information

Primary practice address
5518 Ellsworth Rd Fort Smith AR 72903-3222
Phone: (479) 646-3937
Fax: (479) 646-3605
Website:
Map and Directions
Authorized official contact:
Name: Moulton, Everett Crockett Doctor of Medicine (MD)
Phone: (479) 646-3937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X C4990 Arkansas

Profile Details

NPI number 1235304924
LBN Legal business name Moulton Optical Department
DBA Doing business as
Authorized official Moulton, Everett Crockett Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2008
Last updated Jan 24th, 2019 - about 6 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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