| Arkansas Vision Development Center Pa | |
|
1021 S Waldron Rd, Fort Smith, AR 72903-2549 | |
| (479) 478-8860 | |
| (479) 478-8890 |
| Full Name | Arkansas Vision Development Center Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Vision Therapy |
| Location | 1021 S Waldron Rd, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942326244 | NPI | - | NPPES |
| 49907 | Other | AR | MEDICARE PTAN |
| 158686722 | Medicaid | AR | |
| 1942326244 | Other | AR | NPI GROUP |
| 200057240A | Medicaid | OK | |
| 1447387170 | Other | AR | NPI INDIVIDUAL |
| 200055390A | Medicaid | OK | |
| 5F232 | Other | AR | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | 2554 (Arkansas) | Primary |
| Provider Name | Wanda Vaughn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447387170 PECOS PAC ID: 3173574910 Enrollment ID: I20050317000113 |
| Provider Name | Cameron Boboth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043733744 PECOS PAC ID: 9234494055 Enrollment ID: I20180529001416 |
| Provider Name | Katherine M Ramey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194203067 PECOS PAC ID: 3476895640 Enrollment ID: I20190509000085 |
| Provider Name | Heather M Snyder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457905903 PECOS PAC ID: 7810329422 Enrollment ID: I20191120002671 |
| Provider Name | Kristina Cari Flaig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578145769 PECOS PAC ID: 2961808712 Enrollment ID: I20210902002405 |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Vision Development Center Pa 1021 S Waldron Rd, Fort Smith, AR 72903-2549 Ph: (479) 478-8860 | Arkansas Vision Development Center Pa 1021 S Waldron Rd, Fort Smith, AR 72903-2549 Ph: (479) 478-8860 |
Dr. Clemit W Liles Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2425 S Zero St, Fort Smith, AR 72901 Phone: 479-763-1230 Fax: 479-777-4614 | |
Ennen Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 3312 S 70th St, Fort Smith, AR 72903 Phone: 479-452-7800 Fax: 479-452-9486 | |
Dr. Cameron Fredrick Boboth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1021 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-478-8860 Fax: 479-478-8860 | |
J Steven Yaney Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4300 Rogers Ave, Greenpointe Center Suite 46, Fort Smith, AR 72903 Phone: 479-785-0010 Fax: 479-782-8478 | |
Dr. Mark Allen Horne, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5111 Rogers Ave Ste 54, Fort Smith, AR 72903 Phone: 479-452-0928 Fax: 479-452-0978 | |
Eye Group, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7901 Dallas St, Fort Smith, AR 72903 Phone: 479-782-8892 Fax: 479-782-8840 | |
Parker Pratt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3312 S 70th St, Fort Smith, AR 72903 Phone: 479-452-7800 Fax: 479-452-9486 |