Healthcare Provider Details
I. General information
NPI: 1023925104
Provider Name (Legal Business Name): PARAGOULD EYES & AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
901 LINWOOD DR
PARAGOULD AR
72450-4854
US
IV. Provider business mailing address
901 LINWOOD DR
PARAGOULD AR
72450-4854
US
V. Phone/Fax
- Phone: 870-239-2251
- Fax:
- Phone: 870-239-2251
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANK
BUTTON
Title or Position: MANAGING MEMBER
Credential: O.D.
Phone: 501-617-2993