MEDICARE: VELVET'S OPTIQUE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	L930710	AR

General Provider Information

NPI Number	:	1124206743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VELVET'S OPTIQUE

Provider Business Mailing Address
First Line	:	2511 HARRISON ST
Second Line	:
City	:	BATESVILLE
State	:	AR
Zip	:	72501-7424
Country	:	US
Telephone Number	:	870-698-2020
Fax Number	:	870-698-9371

Provider Business Practice Location Address
First Line	:	2511 HARRISON ST
Second Line	:
City	:	BATESVILLE
State	:	AR
Zip	:	72501-7424
Country	:	US
Telephone Number	:	870-698-2020
Fax Number	:	870-698-9371

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. VELVET L. PREWITT
Credential	:	LICENSED OPTICIAN
Telephone Number	:	870-698-2020

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	02/06/2008

Similar Medicare Providers

1376620559 — VELVET PREWITT LICENSED OPTICIAN
Practice Location Address:

2511 HARRISON ST
BATESVILLE, AR
72501-7424

Practice Phone: 870-698-2020
Practice Fax: 870-698-9371

1477617918 — DR. THOMAS MARK ZURKOWSKI M.D.
Practice Location Address:

2501 HARRISON ST
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1285822205 — THOMAS M ZURKOWSKI
Practice Location Address:

2501 HARRISON ST
BATESVILLE, AR
72501-7424

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1558712133 — STACY MILLIKIN MS,OTR/L
Practice Location Address:

2503 HARRISON ST
BATESVILLE, AR
72501-7424

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1770093908 — MS. SHELBY LOIS WARD OTR/L
Practice Location Address:

2503 HARRISON ST
BATESVILLE, AR
72501-7424

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1326526484 — ABBY CATHERINE EDWARDS PTA
Practice Location Address:

2503 HARRISON ST
BATESVILLE, AR
72501-7424

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Practice Fax: 870-569-8063

Directions to “VELVET'S OPTIQUE ” Practice Location

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