Healthcare Provider Details
I. General information
NPI: 1447496591
Provider Name (Legal Business Name): VISION CARE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2008
Last Update Date: 12/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1629 AIRPORT RD
HOT SPRINGS AR
71913-7951
US
IV. Provider business mailing address
203 FAWN ST
HOT SPRINGS AR
71901-4928
US
V. Phone/Fax
- Phone: 501-767-0602
- Fax:
- Phone: 501-538-6068
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 2387 |
| License Number State | AR |
VIII. Authorized Official
Name: DR.
ANGELA
FINLEY
ROSE
Title or Position: PRESIDENT
Credential: O.D.
Phone: 501-538-6068