Healthcare Provider Details

I. General information

NPI: 1659566800
Provider Name (Legal Business Name): WEBB EYE CARE ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 AIRPORT RD SUITE C
HOT SPRINGS AR
71913-7952
US

IV. Provider business mailing address

1540 AIRPORT RD SUITE C
HOT SPRINGS AR
71913-7952
US

V. Phone/Fax

Practice location:
  • Phone: 501-318-2020
  • Fax: 501-767-5450
Mailing address:
  • Phone: 501-318-2020
  • Fax: 501-767-5450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2499
License Number StateAR

VIII. Authorized Official

Name: DR. ANNETTE GAYLE WEBB
Title or Position: OPTOMETRIST
Credential: OD
Phone: 501-318-2020