Provider Demographics
NPI:1093795379
Name:BELL, RICK A
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:A
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1570
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-1570
Mailing Address - Country:US
Mailing Address - Phone:870-845-5211
Mailing Address - Fax:870-845-2180
Practice Address - Street 1:708 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-2708
Practice Address - Country:US
Practice Address - Phone:870-845-5211
Practice Address - Fax:870-845-2180
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2258152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR112955722Medicaid
AR112955722Medicaid
AR49162Medicare ID - Type Unspecified