Organization
CENTER FOR SIGHT OF FORT SMITH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE L. MAURER (OFFICE MANAGER)
(479) 646-3937
Entity
Organization
Contact information
Practice address
5518 ELLSWORTH RD, FORT SMITH, AR 72903-3222
(479) 646-3937
(479) 646-3605
Mailing address
5518 ELLSWORTH RD, FORT SMITH, AR 72903-3222
(479) 646-3937
(479) 646-3605
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128969002
—
AR
Enumeration date
11/16/2005
Last updated
02/25/2010
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