Organization
BRIAN W BUELL EYE CARE PA
Active
Organization
BRIAN W BUELL EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BUELL O.P. (PRESIDENT)
(479) 521-7774
Entity
Organization
Contact information
Practice address
4083 N SHILOH DR, SUITE ONE, FAYETTEVILLE, AR 72703-5300
(479) 521-7774
(479) 521-4928
Mailing address
4083 N SHILOH DR, SUITE ONE, FAYETTEVILLE, AR 72703-5300
(479) 521-7774
(479) 521-4928
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PC-055
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106357722
—
AR
Enumeration date
02/17/2012
Last updated
02/20/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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