Provider Demographics
NPI:1245393271
Name:BRIGHT EYE CARE
Entity Type:Organization
Organization Name:BRIGHT EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRISTOWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:501-653-2442
Mailing Address - Street 1:3121 N REYNOLDS RD STE 4
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-9190
Mailing Address - Country:US
Mailing Address - Phone:501-653-2442
Mailing Address - Fax:501-653-2404
Practice Address - Street 1:3121 N REYNOLDS RD STE 4
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-9190
Practice Address - Country:US
Practice Address - Phone:501-653-2442
Practice Address - Fax:501-653-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2553152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1508812686OtherPERSNOL NPI
AR5F562OtherBCBS GROUP NUMBER
AR1508812686OtherPERSNOL NPI
ARV02583Medicare UPIN