Pediatric Vision Development Center Inc.

LBN: Pediatric Vision Development Center Inc.
Pediatric Vision Development Center Inc. is an health care organization with primary practice located at 101 Dawn Dr , Centerton AR 72719-9314. The organization recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as the primary health care specialty. Pediatric Vision Development Center Inc. can be contacted via phone (479) 795-1411, or through Petty, Megan via phone (479) 795-1411.

Contact Information

Primary practice address
101 Dawn Dr Centerton AR 72719-9314
Phone: (479) 795-1411
Fax: (479) 795-1412
Website:
Map and Directions
Authorized official contact:
Name: Petty, Megan Doctor of Optometry (OD)
Phone: (479) 795-1411

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2568 Arkansas

Profile Details

NPI number 1558427021
LBN Legal business name Pediatric Vision Development Center Inc.
DBA Doing business as
Authorized official Petty, Megan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Dec 18th, 2013 - about 12 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 1558427021 NPPES
Arkansas Other 2568 STATE LICENSE

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