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Organization

EYE GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT B KNOX M.D. (PRESIDENT)
(479) 782-8892
Entity
Organization

Contact information

Practice address
7901 DALLAS STREET, FORT SMITH, AR 72903-4281
(479) 782-8892
(479) 782-8840
Mailing address
7901 DALLAS ST, FORT SMITH, AR 72903-4281
(479) 782-8892
(479) 782-8840

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100768130B
OK
05
128041002
AR
01
5B728
BCBS
AR
01
CQ2384
RALIROAD MEDICARE
AR
Enumeration date
02/06/2006
Last updated
04/27/2018
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