| Med Southwest, Pllc | |
|
301 Professional Park Dr Ste A, Arkadelphia, AR 71923-5317 | |
| (903) 838-0783 | |
| (903) 831-6145 |
| Full Name | Med Southwest, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 301 Professional Park Dr Ste A, Arkadelphia, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497211783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Raymond M Carozza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316959596 PECOS PAC ID: 4880796275 Enrollment ID: I20070505000171 |
| Provider Name | Brittany B Boyette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669670063 PECOS PAC ID: 5193814069 Enrollment ID: I20071129000405 |
| Provider Name | Ronald A Burks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588640072 PECOS PAC ID: 2961592357 Enrollment ID: I20071221000531 |
| Provider Name | Clemit W Liles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184620049 PECOS PAC ID: 5294711370 Enrollment ID: I20090630000437 |
| Provider Name | Clemit W Liles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003044355 PECOS PAC ID: 5597819748 Enrollment ID: I20090821000560 |
| Provider Name | James S Simpson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386617405 PECOS PAC ID: 0840270799 Enrollment ID: I20100809000610 |
| Provider Name | Angela Howell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932179942 PECOS PAC ID: 7911913207 Enrollment ID: I20101006001031 |
| Provider Name | Mark Robinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699872036 PECOS PAC ID: 0244347326 Enrollment ID: I20101203001224 |
| Provider Name | Elvin W Fenton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215920442 PECOS PAC ID: 1052205465 Enrollment ID: I20160506001713 |
| Provider Name | Mark Ryan Lanka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679817506 PECOS PAC ID: 9931337995 Enrollment ID: I20160506001913 |
| Provider Name | Susan L Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083074363 PECOS PAC ID: 9032406186 Enrollment ID: I20160917000368 |
| Provider Name | Nicholas Joseph Mccolley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104277920 PECOS PAC ID: 2860785326 Enrollment ID: I20160919000117 |
| Provider Name | Frances Louise Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457739831 PECOS PAC ID: 8921311077 Enrollment ID: I20161222001305 |
| Provider Name | Jack A Greenan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639613979 PECOS PAC ID: 4981981206 Enrollment ID: I20170515000698 |
| Provider Name | Priscilla L Kier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134649015 PECOS PAC ID: 9830460856 Enrollment ID: I20180920003224 |
| Provider Name | Peter G Bako |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629590450 PECOS PAC ID: 8325319304 Enrollment ID: I20181017001272 |
| Provider Name | Brad Aaron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073588810 PECOS PAC ID: 2264487487 Enrollment ID: I20190813003431 |
| Provider Name | Katherine Mccracken |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639731185 PECOS PAC ID: 9436489663 Enrollment ID: I20191001001190 |
| Provider Name | Nicholas Marcopulos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891823258 PECOS PAC ID: 0345486874 Enrollment ID: I20200309000853 |
| Provider Name | Ryann Katherine Roles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154071389 PECOS PAC ID: 6800277922 Enrollment ID: I20220721000978 |
| Provider Name | Savannah Merritt Huckaby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134867005 PECOS PAC ID: 8820470446 Enrollment ID: I20220728003723 |
| Provider Name | Amber Wiggins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104551746 PECOS PAC ID: 6901274463 Enrollment ID: I20221115001873 |
| Provider Name | Argjenta Orana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033461165 PECOS PAC ID: 3173992237 Enrollment ID: I20250424000735 |
| Provider Name | Teresa Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376685966 PECOS PAC ID: 7214249309 Enrollment ID: I20250424003209 |
| Mailing Address | Practice Location Address |
|---|---|
| Med Southwest, Pllc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Med Southwest, Pllc 301 Professional Park Dr Ste A, Arkadelphia, AR 71923-5317 Ph: (903) 838-0783 |
Savannah Merritt Huckaby, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 Professional Park Dr # A, Arkadelphia, AR 71923 Phone: 870-779-1022 Fax: 870-568-0681 | |
Byers Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 109 Malone Drive, Arkadelphia, AR 71923 Phone: 870-246-6877 | |
Raymond Marc Carozza, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2915 Cypress Rd, Suite B, Arkadelphia, AR 71923 Phone: 870-246-5090 Fax: 870-246-7421 | |
Texarkana Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 Professional Park Dr Ste A, Arkadelphia, AR 71923 Phone: 870-246-5090 Fax: 870-204-7900 | |
Community Vision Center Mossco Inc Dr Randy Wayne Moss Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 Wp Malone, Arkadelphia, AR 71923 Phone: 870-246-6877 Fax: 870-245-0088 | |
Alicia Ellen Byers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 109 W. P. Malone Road, Arkadelphia, AR 71923 Phone: 870-246-6877 Fax: 870-245-0088 |