Individual
SUSAN DIANE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4200 N RODNEY PARHAM RD STE 101, LITTLE ROCK, AR 72212-2458
(501) 224-5658
(501) 224-8114
Mailing address
201 EXECUTIVE CT STE A, LITTLE ROCK, AR 72205-4536
(501) 224-5658
(501) 223-8656
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C7661
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-20033
UNITED HEALTHCARE
AR
01
—
11825
COORDINATED VISION CARE
AR
05
—
125599001
—
AR
01
—
13629000000
QUALCHOICE
AR
01
—
180030604
RAILROAD MEDICARE
AR
01
—
2454752
CIGNA
AR
01
—
4514242
AETNA
AR
01
—
54157
BLUE CROSS OF AR
AR
01
—
5B955
BLUE CROSS PAY TO PROVIDE
AR
01
—
C7661
STATE MEDICAL BOARD
AR
01
—
CJ3133
RR MEDICARE GROUP #
AR
Enumeration date
07/15/2005
Last updated
04/15/2025
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