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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

NPI # 1366414187
LBN Legal business name EYE GROUP, LLC
Authorized official ROBERT KNOX - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2006
Last updated 04/27/2018 - About 8 years ago
Identifiers
AR Medicaid 128041002
OK Medicaid 100768130B
AR Other 5B728 BCBS
AR Other CQ2384 RALIROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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