Provider Demographics
NPI:1184041873
Name:HAYDEN SOWERS OPTOMETRY PA
Entity Type:Organization
Organization Name:HAYDEN SOWERS OPTOMETRY PA
Other - Org Name:WHITE RIVER EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYDEN
Authorized Official - Middle Name:HARPER
Authorized Official - Last Name:SOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:870-834-3339
Mailing Address - Street 1:2402 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7421
Mailing Address - Country:US
Mailing Address - Phone:870-834-3339
Mailing Address - Fax:
Practice Address - Street 1:3609 HIGHWAY 367 N
Practice Address - Street 2:
Practice Address - City:BALD KNOB
Practice Address - State:AR
Practice Address - Zip Code:72010-9404
Practice Address - Country:US
Practice Address - Phone:870-834-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2666152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty