Healthcare Provider Details

I. General information

NPI: 1790742039
Provider Name (Legal Business Name): SLOAN EYE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HOSPITAL CIR
BATESVILLE AR
72501-7310
US

IV. Provider business mailing address

10 HOSPITAL CIR
BATESVILLE AR
72501-7310
US

V. Phone/Fax

Practice location:
  • Phone: 870-793-4040
  • Fax: 870-793-5649
Mailing address:
  • Phone: 870-793-4040
  • Fax: 870-793-5649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD LEN LOWERY
Title or Position: OWNER
Credential: M.D.
Phone: 870-793-4040