Healthcare Provider Details

I. General information

NPI: 1174191720
Provider Name (Legal Business Name): LINDSEY GEORGE OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 HOSPITAL DR STE A
CHEROKEE VILLAGE AR
72529-7315
US

IV. Provider business mailing address

PO BOX 114
VIOLET HILL AR
72584-0114
US

V. Phone/Fax

Practice location:
  • Phone: 870-257-2100
  • Fax:
Mailing address:
  • Phone: 870-291-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-E82
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT003335
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2823
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: