Organization
JOE HORTON FAMILY EYE CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE J HORTON OD (OPTOMETRIC PHYSICIAN)
(479) 521-6460
Entity
Organization
Contact information
Practice address
3061 MARKET AVENUE, SUITE 6, FAYETTEVILLE, AR 72703
(479) 521-6460
(479) 442-3493
Mailing address
3061 MARKET AVENUE, SUITE 6, FAYETTEVILLE, AR 72703
(479) 521-6460
(479) 442-3493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2091
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114623722
—
AR
01
—
1285785071
MEDICARE GROUP NPI
AR
01
—
5B439
BCBS
AR
01
—
CG4273
RR MEDICARE
AR
Enumeration date
01/16/2007
Last updated
02/25/2013
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