Organization
SALINE OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN HALL (OFFICE MANAGER)
(501) 778-1113
Entity
Organization
Contact information
Practice address
3 MEDICAL PARK DR, SUITE300, BENTON, AR 72015-3728
(501) 778-1113
(501) 778-5391
Mailing address
3 MEDICAL PARK DR, SUITE300, BENTON, AR 72015-3728
(501) 778-1113
(501) 778-5391
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4167140001
DMERC MEDICARE/CIGNA
AR
01
—
5B790
BLUE CROSS BLUE SHEILD
AR
Enumeration date
05/13/2006
Last updated
04/20/2008
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