Provider Demographics
NPI:1659566800
Name:WEBB EYE CARE ASSOCIATES, PA
Entity Type:Organization
Organization Name:WEBB EYE CARE ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:501-318-2020
Mailing Address - Street 1:1540 AIRPORT RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7952
Mailing Address - Country:US
Mailing Address - Phone:501-318-2020
Mailing Address - Fax:501-767-5450
Practice Address - Street 1:1540 AIRPORT RD
Practice Address - Street 2:SUITE C
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7952
Practice Address - Country:US
Practice Address - Phone:501-318-2020
Practice Address - Fax:501-767-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2499152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty