Healthcare Provider Details

I. General information

NPI: 1033846423
Provider Name (Legal Business Name): NOH EYES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S UNIVERSITY AVE STE 702
LITTLE ROCK AR
72205-5309
US

IV. Provider business mailing address

500 S UNIVERSITY AVE STE 702
LITTLE ROCK AR
72205-5309
US

V. Phone/Fax

Practice location:
  • Phone: 724-612-7202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADA NOH
Title or Position: OPTOMETRIST
Credential: OD
Phone: 501-508-2660