Healthcare Provider Details

I. General information

NPI: 1316873086
Provider Name (Legal Business Name): EVAN ISBELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CASE COMMONS DR
MOUNTAIN VIEW AR
72560-5016
US

IV. Provider business mailing address

101 CASE COMMONS DR
MOUNTAIN VIEW AR
72560-5016
US

V. Phone/Fax

Practice location:
  • Phone: 870-269-3610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2914
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: