| Susan Diane Blair, MD | |
|
4200 N Rodney Parham Rd Ste 101, Little Rock, AR 72212-2458 | |
| (501) 224-5658 | |
| (501) 224-8114 |
| Full Name | Susan Diane Blair |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 36 Years |
| Location | 4200 N Rodney Parham Rd Ste 101, Little Rock, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942209572 | NPI | - | NPPES |
| 08-20033 | Other | AR | UNITED HEALTHCARE |
| 180030604 | Other | AR | RAILROAD MEDICARE |
| 5B955 | Other | AR | BLUE CROSS PAY TO PROVIDE |
| 4514242 | Other | AR | AETNA |
| 11825 | Other | AR | COORDINATED VISION CARE |
| 13629000000 | Other | AR | QUALCHOICE |
| 54157 | Other | AR | BLUE CROSS OF AR |
| CJ3133 | Other | AR | RR MEDICARE GROUP # |
| 2454752 | Other | AR | CIGNA |
| 125599001 | Medicaid | AR | |
| C7661 | Other | AR | STATE MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | C7661 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Little Rock Eye Clinic Llp | 3476535121 | 17 |
| Entity Name | Little Rock Eye Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992764914 PECOS PAC ID: 3476535121 Enrollment ID: O20040604000948 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Diane Blair, MD 201 Executive Ct Ste A, Little Rock, AR 72205-4536 Ph: (501) 224-5658 | Susan Diane Blair, MD 4200 N Rodney Parham Rd Ste 101, Little Rock, AR 72212-2458 Ph: (501) 224-5658 |
Lydia F Lane, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9800 Lile Dr, Suite 400, Little Rock, AR 72205 Phone: 501-224-5658 Fax: 501-224-8114 | |
Dr. David R Rozas, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5300 W. Markham, Little Rock, AR 72205 Phone: 501-664-5354 Fax: 501-664-5257 | |
Ammar N Safar, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, 523, Little Rock, AR 72205 Phone: 501-686-5150 Fax: 501-526-6562 | |
Dr. Jennifer Anderson, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Monica Verma, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 11825 Hinson Rd Ste 103, Little Rock, AR 72212 Phone: 501-747-1625 Fax: 501-747-1626 | |
Dr. Tom Kornhauser, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 523, Little Rock, AR 72205 Phone: 501-686-5852 Fax: 501-686-8560 | |
Richard E Brown Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4301 W 7th St, Little Rock, AR 72205 Phone: 479-283-7524 |