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Contact Information

EYE GROUP, LLC
7901 DALLAS STREET
FORT SMITH, AR72903-4281
 Phone: 479-782-8892
 Fax: 479-782-8840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EYE GROUP LLC · (Female)

NPI # 1366414187
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2006
Last updated 04/27/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 128041002
  • OK Medicaid 100768130B
  • AR Other 5B728 BCBS
  • AR Other CQ2384 RALIROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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