Ophthalmology Associates of Benton, Pllc

NPI #1699774794 in Benton, Arkansas

Provider Information

NPI Number: 1699774794
Entity Type: Organization
Organization Name: Ophthalmology Associates of Benton, Pllc
Primary Specialty: Specialist
Enumeration Date: Jul 20, 2005
Last Updated: Sep 30, 2013

Practice Location

Address: 3 MEDICAL PARK DR
Address 2: SUITE 300
City: Benton
State: Arkansas
ZIP Code: 72015-3728
Phone: (501) 778-1113

Authorized Official

Name: MRS. LINDA DETHERAGE
Title: INSURANCE & CREDENTIALING
Phone: (501) 778-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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