| Radiant Eye Care Optometric Corporation | |
|
5653 Gateway Ave Apt D, Tontitown, AR 72762-3275 | |
| (479) 777-2697 | |
| (479) 763-3212 |
| Full Name | Radiant Eye Care Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5653 Gateway Ave Apt D, Tontitown, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881241792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Andrea Kristine Horne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083027957 PECOS PAC ID: 8729209788 Enrollment ID: I20150806010616 |
| Provider Name | Ginny Carroll Schaffner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447747613 PECOS PAC ID: 1052642931 Enrollment ID: I20241002000485 |
| Provider Name | Aleece Dietz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194415190 PECOS PAC ID: 6709232184 Enrollment ID: I20241011002236 |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Eye Care Optometric Corporation 2954 Carley Pl, Springdale, AR 72762-7420 Ph: (479) 531-3056 | Radiant Eye Care Optometric Corporation 5653 Gateway Ave Apt D, Tontitown, AR 72762-3275 Ph: (479) 777-2697 |
Dr. Andrea Kristine Horne, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5653 Gateway Ave Apt D, Tontitown, AR 72762 Phone: 479-777-2697 Fax: 479-763-3212 |