| Mcdonald Eye Services, Pa | |
|
3689 N Steele Blvd, Fayetteville, AR 72703-5347 | |
| (479) 521-2555 | |
| (479) 521-6761 |
| Full Name | Mcdonald Eye Services, Pa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3689 N Steele Blvd, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407850217 | NPI | - | NPPES |
| 127505722 | Medicaid | AR | |
| 127513002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Arkansas) | Secondary |
| 207W00000X | Ophthalmology | (Arkansas) | Primary |
| Provider Name | Chad L Betts |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215971106 PECOS PAC ID: 4183620933 Enrollment ID: I20061018000408 |
| Provider Name | Jessalyn E Halsted |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174879233 PECOS PAC ID: 8820248826 Enrollment ID: I20121029000688 |
| Provider Name | Christen J Coats |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568812345 PECOS PAC ID: 5698053809 Enrollment ID: I20161022000129 |
| Provider Name | Eddie A Mengarelli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609211234 PECOS PAC ID: 7618257841 Enrollment ID: I20170816001599 |
| Provider Name | Paul Van Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962998773 PECOS PAC ID: 3779833512 Enrollment ID: I20180829001491 |
| Provider Name | Alan D Grover |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760672331 PECOS PAC ID: 7810077419 Enrollment ID: I20190531001598 |
| Provider Name | Tiffanie Roller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295427870 PECOS PAC ID: 0345602363 Enrollment ID: I20230808002408 |
| Provider Name | Cateon Burnside |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043056195 PECOS PAC ID: 9234678194 Enrollment ID: I20240823001679 |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdonald Eye Services, Pa 3689 N Steele Blvd, Fayetteville, AR 72703-5347 Ph: (479) 521-2555 | Mcdonald Eye Services, Pa 3689 N Steele Blvd, Fayetteville, AR 72703-5347 Ph: (479) 521-2555 |