Provider Demographics
NPI:1366032112
Name:RETINA PARTNERS OF NORTHWEST ARKANSAS PLLC
Entity Type:Organization
Organization Name:RETINA PARTNERS OF NORTHWEST ARKANSAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SERRHEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:479-419-9393
Mailing Address - Street 1:601 W MAPLE AVE STE 205A
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5336
Mailing Address - Country:US
Mailing Address - Phone:479-326-9400
Mailing Address - Fax:479-309-9693
Practice Address - Street 1:601 W MAPLE AVE STE 205A
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-5336
Practice Address - Country:US
Practice Address - Phone:479-326-9400
Practice Address - Fax:479-309-9693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty