Organization
HENRY EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MORRISS HENRY M.D. (OPHTHALMOLOGIST)
(479) 442-5227
Entity
Organization
Contact information
Practice address
741 E VAN ASCHE DR, FAYETTEVILLE, AR 72703-4916
(479) 442-5227
(479) 582-4952
Mailing address
741 E VAN ASCHE DR, FAYETTEVILLE, AR 72703-4916
(479) 442-5227
(479) 582-4952
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132227002
—
AR
01
—
180032208
RAILROAD MEDICARE
AR
01
—
57440
BLUE CROSS
AR
Enumeration date
01/19/2006
Last updated
09/21/2023
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