Organization
BOOZMAN-HOF REGIONAL EYE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY WARE (CLINIC ADMINISTRATOR)
(479) 246-1700
Entity
Organization
Contact information
Practice address
3737 W. WALNUT, ROGERS, AR 72757-1353
(479) 246-1700
(479) 631-2629
Mailing address
3737 W. WALNUT, P.O. BOX 1353, ROGERS, AR 72757-1353
(479) 246-1700
(479) 631-2629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
AR
207W00000X
Ophthalmology Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101143002
—
AR
05
—
112304722
—
AR
Enumeration date
02/15/2006
Last updated
07/23/2013
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