Provider Demographics
NPI:1710089180
Name:JOE D. HESTER, M.D., P.A.
Entity Type:Organization
Organization Name:JOE D. HESTER, M.D., P.A.
Other - Org Name:HESTER EYE CARE (CLINIC)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:DODD
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-836-3636
Mailing Address - Street 1:PO BOX 699
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71711-0699
Mailing Address - Country:US
Mailing Address - Phone:870-836-3636
Mailing Address - Fax:
Practice Address - Street 1:416 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-4616
Practice Address - Country:US
Practice Address - Phone:870-836-3636
Practice Address - Fax:870-836-6136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5403207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D04634Medicare UPIN
52353Medicare ID - Type Unspecified