Provider Demographics
NPI:1578753364
Name:FOLLOWELL, JOSEPH FRANCIS (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:FOLLOWELL
Suffix:
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 1:825 FAYETTEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-3422
Mailing Address - Country:US
Mailing Address - Phone:479-474-2532
Mailing Address - Fax:479-474-0993
Practice Address - Street 1:825 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-3422
Practice Address - Country:US
Practice Address - Phone:479-474-2532
Practice Address - Fax:479-474-0993
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2601152W00000X
OK2524152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200119120AMedicaid
AR166499722Medicaid
AR166499722Medicaid
AR4T040B728Medicare PIN