Provider Demographics
NPI:1073857025
Name:CABOT FAMILY EYE CARE INC
Entity Type:Organization
Organization Name:CABOT FAMILY EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LIVENGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-492-7572
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-0028
Mailing Address - Country:US
Mailing Address - Phone:713-492-7572
Mailing Address - Fax:
Practice Address - Street 1:32 S PINE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3830
Practice Address - Country:US
Practice Address - Phone:713-492-7572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2640152W00000X
AR2624152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty