Ophthalmology Associates Of Benton, Pllc
LBN: Ophthalmology Associates Of Benton, Pllc
Ophthalmology Associates Of Benton, Pllc is an health care organization with primary practice located at 3 Medical Park Dr Suite 300, Benton AR 72015-3728. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Ophthalmology Associates Of Benton, Pllc can be contacted via phone (501) 778-1113, or through Detherage, Linda via phone (501) 778-1113.
Contact Information
Primary practice address
3 Medical Park Dr Suite 300
Benton AR 72015-3728
Phone: (501) 778-1113
Fax: (501) 778-5391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C7930 | Arkansas |
| Other Service Providers / Specialist | 174400000X | C7476 | Arkansas |
| Other Service Providers / Specialist | 174400000X | E-2274 | Arkansas |
Profile Details
| NPI number | 1699774794 |
|---|---|
| LBN Legal business name | Ophthalmology Associates Of Benton, Pllc |
| DBA Doing business as | |
| Authorized official | Detherage, Linda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Sep 30th, 2013 - about 11 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 | 1699774794 | NPPES |
| Arkansas | Other | 5B790 | BLUE CROSS BLUE SHIELD |
| Arkansas | MEDICAID | 140820002 | BLUE CROSS BLUE SHIELD |
| Arkansas | Other | CI3712 | BLUE CROSS BLUE SHIELD |
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