Simmons Eye Care Clinic, P.A.
LBN: Simmons Eye Care Clinic, P.A.
Simmons Eye Care Clinic, P.A. is an health care organization with primary practice located at 113 W Carpenter St , Benton AR 72015-3317. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Simmons Eye Care Clinic, P.A. can be contacted via phone (501) 778-2363, or through Simmons, Russell T. via phone (501) 778-2363.
Contact Information
Primary practice address
113 W Carpenter St
Benton AR 72015-3317
Phone: (501) 778-2363
Fax: (501) 778-5329
Website:
Authorized official contact:
Name: Simmons, Russell T. Doctor of Optometry (OD)
Phone: (501) 778-2363
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2329 | Arkansas |
Profile Details
| NPI number | 1598753279 |
|---|---|
| LBN Legal business name | Simmons Eye Care Clinic, P.A. |
| DBA Doing business as | |
| Authorized official | Simmons, Russell T. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | May 12th, 2008 - about 16 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 | 1598753279 | NPPES |
| Arkansas | MEDICAID | 105507022 | |
| Arkansas | MEDICAID | 161893722 | |
| Arkansas | MEDICAID | 139616722 | |
| Arkansas | MEDICAID | 119106722 | |
| Arkansas | Other | 49956 | |
| Arkansas | Other | 0250800001 |
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