Provider Demographics
NPI:1093709081
Name:WESTFALL, PATRICIA FLIPPIN (OD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:FLIPPIN
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W RACE AVE
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4133
Mailing Address - Country:US
Mailing Address - Phone:501-268-3577
Mailing Address - Fax:501-268-5631
Practice Address - Street 1:410 W RACE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4133
Practice Address - Country:US
Practice Address - Phone:501-268-3577
Practice Address - Fax:501-268-5631
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2488152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00081901OtherRAIL ROAD MEDICARE
AR731543OtherHEALTHLINK PPO
AR0215420001OtherMEDICARE DMERC REGION C
AR137060722Medicaid
AR2220106OtherUNITED HEALTH CARE
AR137060722Medicaid
AR49577Medicare PIN
AR2220106OtherUNITED HEALTH CARE