# BRIAN W BUELL EYE CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356614556
- **Authorized official:** BRIAN BUELL O.P. (PRESIDENT)
- **Authorized official phone:** (479) 521-7774

## Contact information

- **Practice address:** 4083 N SHILOH DR, SUITE ONE, FAYETTEVILLE, AR 72703-5300
- **Practice address phone:** (479) 521-7774
- **Practice address fax:** (479) 521-4928
- **Mailing address:** 4083 N SHILOH DR, SUITE ONE, FAYETTEVILLE, AR 72703-5300
- **Mailing address phone:** (479) 521-7774
- **Mailing address fax:** (479) 521-4928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | PC-055 | AR | Yes |

## Other

- **Enumeration date:** 02/17/2012
- **Last updated:** 02/20/2012