| Lifetime Vision Center | |
|
330 Dillard Ave, Forrest City, AR 72335-3260 | |
| (870) 633-1174 | |
| (870) 633-3838 |
| Full Name | Lifetime Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 330 Dillard Ave, Forrest City, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215034699 | NPI | - | NPPES |
| 106007722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Martha S Gore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659340040 PECOS PAC ID: 5193790707 Enrollment ID: I20040827000581 |
| Provider Name | Ashley Toland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518412600 PECOS PAC ID: 7911295100 Enrollment ID: I20161004000006 |
| Provider Name | Jennifer E Anderson Connell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336692623 PECOS PAC ID: 6406143544 Enrollment ID: I20170808000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Vision Center 330 Dillard Ave, Forrest City, AR 72335-3260 Ph: (870) 633-1174 | Lifetime Vision Center 330 Dillard Ave, Forrest City, AR 72335-3260 Ph: (870) 633-1174 |
Dr. Ashley Toland, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 330 Dillard St, Forrest City, AR 72335 Phone: 870-633-1174 | |
Dr. Martha Gore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 330 Dillard St, Forrest City, AR 72335 Phone: 870-633-1174 Fax: 870-633-3838 | |
Dr. Dale Lynn Morris, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 330 Dillard St, Forrest City, AR 72335 Phone: 870-633-1174 Fax: 870-633-3838 |