Individual
DR. WILLIAM BRENT HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3001 W 28TH AVE, PINE BLUFF, AR 71603-4802
(870) 541-2020
(870) 536-0358
Mailing address
3001 W 28TH AVE, PINE BLUFF, AR 71603-4802
(870) 541-2020
(870) 536-0358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2382
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0379260001
PALMETTO
AR
05
—
117893722
—
AR
01
—
15642000041
QUAL CHOISE
AR
01
—
2220012
UNITED HEATHCARE
AR
01
—
410014834
PALMETTO-GBA-RAILROAD MED
AR
01
—
5954657
AETNA
AR
Enumeration date
06/06/2006
Last updated
05/23/2022
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