MEDICARE: DHT INC

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	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730340506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DHT INC

Provider Business Mailing Address
First Line	:	10300 N RODNEY PARHAM RD
Second Line	:	COLONY W SHOP CT
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-0000
Country	:	US
Telephone Number	:	501-224-7444
Fax Number	:	501-224-0849

Provider Business Practice Location Address
First Line	:	10300 RODNEY PARHAM RD
Second Line	:	COLONY W SHOP CT
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-0000
Country	:	US
Telephone Number	:	501-224-7444
Fax Number	:	501-224-0849

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANNY H THOMASON
Credential	:	OD
Telephone Number	:	501-224-7444

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	07/01/2008

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Directions to “DHT INC ” Practice Location

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