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NPI Code Detail

MEDICARE: JEFF NETZEL O.D. PA

MEDICARE: JEFF NETZEL O.D. PA
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
1152W00000XOptometrist2529AR

Other Identifiers

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

General Provider Information

NPI Number : 1881852556
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFF NETZEL O.D. PA
Provider Business Mailing Address
First Line : 1720 S WALTON BLVD STE 2
Second Line :
City : BENTONVILLE
State : AR
Zip : 72712-7533
Country : US
Telephone Number : 479-271-2225
Fax Number : 479-271-6225
Provider Business Practice Location Address
First Line : 1720 S WALTON BLVD STE 2
Second Line :
City : BENTONVILLE
State : AR
Zip : 72712-7533
Country : US
Telephone Number : 479-271-2225
Fax Number : 479-271-6225
Authorized Official
Title or Position : OWNER/OPTOMERTRIST
Name : DR. JEFF A NETZEL
Credential : O.D.
Telephone Number : 479-271-2225
Provider Enumeration Date : 05/29/2008
Last Update Date : 05/29/2008

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Directions to “JEFF NETZEL O.D. PA ” Practice Location

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