DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ENVISION EYE CARE

MEDICARE: ENVISION EYE CARE
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1316405269
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENVISION EYE CARE
Provider Business Mailing Address
First Line : 7519 PALM BEACH AVE
Second Line :
City : BENTON
State : AR
Zip : 72019-2009
Country : US
Telephone Number : 501-278-0128
Fax Number :
Provider Business Practice Location Address
First Line : 8801 BASELINE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-5901
Country : US
Telephone Number : 501-225-5580
Fax Number :
Authorized Official
Title or Position : OWNER/ O.D.
Name : DR. THIEN VAN
Credential : OD
Telephone Number : 501-278-0128
Provider Enumeration Date : 03/11/2019
Last Update Date : 03/11/2019

Similar Medicare Providers

1003779190 — MARINY WHITWORTH PHARMD
Practice Location Address:
8801 BASELINE RD
LITTLE ROCK, AR
72209-5901
Practice Phone: 501-565-1164
Practice Fax:
1679565105 — EDWIN DUNAWAY O.D.
Practice Location Address:
8801 BASELINE RD
LITTLE ROCK, AR
72209-5901
Practice Phone: 501-565-2848
Practice Fax: 501-565-2724
1508883901 — WALMART INC.
Practice Location Address:
8801 BASELINE RD
LITTLE ROCK, AR
72209-5901
Practice Phone: 501-565-1164
Practice Fax: 501-565-1259
1063595544 — WAL-MART STORES, INC.
Practice Location Address:
8801 BASELINE RD
LITTLE ROCK, AR
72209-5901
Practice Phone: 501-565-0274
Practice Fax:
1902112667 — FAMILY VISION CLINIC
Practice Location Address:
8801 BASELINE RD
LITTLE ROCK, AR
72209-5901
Practice Phone: 501-565-2848
Practice Fax: 501-565-2724
1962002410 — CATHERINE LOUISE SUKUP
Practice Location Address:
8801 BASELINE RD
LITTLE ROCK, AR
72209-5901
Practice Phone: 501-565-1164
Practice Fax:

Directions to “ENVISION EYE CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.