Susan Diane Blair in Little Rock - Ophthalmology

Susan Diane Blair - NPI 1942209572

Susan Diane Blair is a Ophthalmology in Little Rock, Arkansas. Susan Diane Blair practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Susan Diane Blair is 1942209572. The last update date is 2019-10-15.

Susan Diane Blair's current location address is 201 Executive Ct Ste A, Little Rock, Arkansas. You can contact this provider via phone number 5012245658 and fax number 5012238656. The mailing address for Susan Diane Blair is 201 Executive Ct Ste A, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Diane Blair
Address 201 Executive Ct Ste A, Little Rock, Arkansas
Phone Number 5012245658
Fax Number 5012238656
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1942209572
Provider Enumeration Date 2005-07-15
Last Updated Date 2019-10-15

Provider Mailing Address Detail

Address 201 Executive Ct Ste A
City Little Rock
State Arkansas (AR)
Post Code 722054536
Phone Number 5012245658
Fax Number 5012238656

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No C7661
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
08-20033 AR UNITED HEALTHCARE
180030604 AR RAILROAD MEDICARE
5B955 AR BLUE CROSS PAY TO PROVIDE
4514242 AR AETNA
11825 AR COORDINATED VISION CARE
13629000000 AR QUALCHOICE
54157 AR BLUE CROSS OF AR
CJ3133 AR RR MEDICARE GROUP #
2454752 AR CIGNA
125599001 AR --

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FAQs about Susan Diane Blair

What is the unique 10-digit identification code issued to Susan Diane Blair by the Centers for Medicare & Medicaid Services?

The Susan Diane Blair has been assigned the NPI (National Provider Identifier) 1942209572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Susan Diane Blair is geographically located?

The Susan Diane Blair is physically situated at the following location: 201 Executive Ct Ste A, Little Rock, AR, 722054536.

What is Susan Diane Blair's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Susan Diane Blair is Ophthalmology, and the corresponding taxonomy classification code for this specialized field is 207W00000X.

On what date did Susan Diane Blair receive its 1942209572 assignment from the Centers for Medicare & Medicaid Services?

The Susan Diane Blair was assigned its 1942209572 on 2005-07-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Susan Diane Blair, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Susan Diane Blair, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-15.

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