| Berryville Eyecare Clinic | |
|
404 W College Ave, Berryville, AR 72616-3142 | |
| (870) 423-2576 | |
| (870) 423-6750 |
| Full Name | Berryville Eyecare Clinic |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 404 W College Ave, Berryville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427194919 | NPI | - | NPPES |
| 166252722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Gavin Trent Mcdowell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154330637 PECOS PAC ID: 0446352249 Enrollment ID: I20070226000381 |
| Provider Name | Tasker N Rodman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316926454 PECOS PAC ID: 1850360835 Enrollment ID: I20070911000886 |
| Provider Name | Michael A. Law |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750606570 PECOS PAC ID: 4880722198 Enrollment ID: I20100506000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Berryville Eyecare Clinic 11225 Huron Ln Ste 200a, Little Rock, AR 72211-1861 Ph: (870) 423-2576 | Berryville Eyecare Clinic 404 W College Ave, Berryville, AR 72616-3142 Ph: (870) 423-2576 |
Squires Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 S Springfield St, Berryville, AR 72616 Phone: 870-423-2576 | |
Dr. Michael Law, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 W College Ave, Berryville, AR 72616 Phone: 870-423-2576 Fax: 870-423-6750 | |
Dr. Maribeth Squires, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 S. Springfield St., Berryville, AR 72616 Phone: 870-423-2576 Fax: 870-423-6750 |