Organization
VISION GROUP ASC, LLC
Active
Other names
Advanced Cataract & Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAIRE B. PRICE MD (CHIEF OF STAFF)
(479) 782-8892
Entity
Organization
Contact information
Practice address
3002 ROGERS AVE, FORT SMITH, AR 72901-4232
(479) 782-8892
(479) 782-8840
Mailing address
3002 ROGERS AVE, FORT SMITH, AR 72901-4232
(479) 782-8892
(479) 782-8840
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
MC1632
AR
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
AR4308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159454128
—
AR
05
—
200085810A
—
OK
01
—
AR4308
LICENCE NUMBER
AR
01
—
P00287824
RAILROAD MEDICARE
AR
Enumeration date
04/12/2006
Last updated
02/23/2010
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