Vold Vision Pllc

LBN: Vold Vision Pllc
Vold Vision Pllc is an health care organization with primary practice located at 2783 N Shiloh Dr , Fayetteville AR 72704-6983. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Vold Vision Pllc can be contacted via phone (479) 442-8653, or through Brock, Doreen via phone (479) 442-8653.

Contact Information

Primary practice address
2783 N Shiloh Dr Fayetteville AR 72704-6983
Phone: (479) 442-8653
Fax: (479) 442-2678
Website:
Map and Directions
Authorized official contact:
Name: Brock, Doreen
Phone: (479) 442-8653

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1558657619
LBN Legal business name Vold Vision Pllc
DBA Doing business as
Authorized official Brock, Doreen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2011
Last updated Sep 10th, 2019 - about 5 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 1558657619 NPPES
Arkansas MEDICAID 197335002
Arkansas MEDICAID 234819722

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