Provider Demographics
NPI:1407885015
Name:BAILEY, FINIS C JR (OD)
Entity Type:Individual
Prefix:
First Name:FINIS
Middle Name:C
Last Name:BAILEY
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 E RACE AVE
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4725
Mailing Address - Country:US
Mailing Address - Phone:501-268-1400
Mailing Address - Fax:501-268-2930
Practice Address - Street 1:2033 E RACE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4725
Practice Address - Country:US
Practice Address - Phone:501-268-1400
Practice Address - Fax:501-268-2930
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2305152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR106545722Medicaid
AR106545722Medicaid
AR0170020001Medicare PIN