| W. Brent Hall, O.d. P.a. | |
|
3001 W 28th Ave, Pine Bluff, AR 71603-4802 | |
| (870) 541-2020 | |
| (870) 536-0358 |
| Full Name | W. Brent Hall, O.d. P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3001 W 28th Ave, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295760767 | NPI | - | NPPES |
| 158851722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Beatrice Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255463311 PECOS PAC ID: 5294631347 Enrollment ID: I20031209001032 |
| Provider Name | William Brent Hall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457390080 PECOS PAC ID: 0244132769 Enrollment ID: I20040124000237 |
| Provider Name | Logan P Bone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376114470 PECOS PAC ID: 6204239486 Enrollment ID: I20210726002070 |
| Mailing Address | Practice Location Address |
|---|---|
| W. Brent Hall, O.d. P.a. 3001 W 28th Ave, Pine Bluff, AR 71603-4802 Ph: (870) 541-2020 | W. Brent Hall, O.d. P.a. 3001 W 28th Ave, Pine Bluff, AR 71603-4802 Ph: (870) 541-2020 |
Jeffery Blake Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3805 West 28th, Pine Bluff, AR 71603 Phone: 870-536-4100 Fax: 870-536-9020 | |
T Thomas Chwe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3805 W 28th Ave, Pine Bluff, AR 71603 Phone: 870-536-4100 Fax: 870-534-3982 | |
Tim E Elcyzyn, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3805 W 28th Ave, Pine Bluff, AR 71603 Phone: 870-536-3100 Fax: 870-536-3100 | |
Dr. Penny's Eye Care Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 5501 S Olive St, Pine Bluff, AR 71603 Phone: 870-536-2200 Fax: 870-534-7362 | |
Herman H Ginger, Od,pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2701 S Hazel St, Pine Bluff, AR 71603 Phone: 870-535-7690 Fax: 870-535-3599 | |
Dr. Logan Bone, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3001 W 28th Ave, Pine Bluff, AR 71603 Phone: 870-541-2020 Fax: 870-536-0358 |