Individual
AIRIELL SCHWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1004 S PINE ST, CABOT, AR 72023-3865
(501) 941-2222
Mailing address
1004 SOUTH PINE STREET, CABOT, AR 72023-4133
(501) 941-2222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2600
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215420001
MEDICARE DMERC REGION C
AR
01
—
1053417360
MEDICARE DMERC
AR
05
—
180288722
—
AR
01
—
P00806907
RAIL ROAD MEDICARE
AR
Enumeration date
09/15/2006
Last updated
10/11/2016
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