John B Witherspoon Optometric Physician Ltd is a
Optometrist based in Mayflower, Arkansas. John B Witherspoon Optometric Physician Ltd is licensed to practice in Arkansas (license number 2272) and their current practice location is
29 River Road Dr E, Mayflower, Arkansas. It can be reached at their office (for appointments etc.) via phone at
(501) 328-9500.
NPI number for John B Witherspoon Optometric Physician Ltd is 1700194990 and their current mailing address is 1155 Hwy 65 North, Conway, Arkansas. John B Witherspoon Optometric Physician Ltd
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700194990.
Healthcare Provider's Profile
| Full Name | John B Witherspoon Optometric Physician Ltd |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 29 River Road Dr E, Mayflower, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700194990
- Provider Enumeration Date: 09/22/2010
- Last Update Date: 10/27/2010
Medical Identifiers
Medical identifiers for John B Witherspoon Optometric Physician Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700194990 | NPI | - | NPPES |
| 106399722 | Medicaid | AR | |
| 5G617 | Other | AR | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2272 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John B Witherspoon Optometric Physician Ltd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John B Witherspoon Optometric Physician Ltd
1155 Hwy 65 North,
Conway, AR 72032
Ph: (501) 328-9500 | John B Witherspoon Optometric Physician Ltd
29 River Road Dr E,
Mayflower, AR 72106-8409
Ph: (501) 328-9500 |
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