Provider Demographics
NPI:1780640219
Name:CATE, STANLEY H (OD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:H
Last Name:CATE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2801 OLD GREENWOOD RD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-4560
Mailing Address - Country:US
Mailing Address - Phone:479-478-6336
Mailing Address - Fax:479-649-0378
Practice Address - Street 1:2801 OLD GREENWOOD RD
Practice Address - Street 2:SUITE 14
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4560
Practice Address - Country:US
Practice Address - Phone:479-478-6336
Practice Address - Fax:479-649-0378
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2361152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR410027958OtherRAILROAD MEDICARE
AR1891961355OtherTYPE 2 NPI, CATE EYE CARE ASSOCIATES, P.A.
4825720001Medicare NSC
AR410027958OtherRAILROAD MEDICARE
AR345703Medicare PIN