Provider Demographics
NPI:1801038195
Name:DANG EYECARE & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DANG EYECARE & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:479-452-6120
Mailing Address - Street 1:4189 PHOENIX AVE STE B
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6013
Mailing Address - Country:US
Mailing Address - Phone:479-452-6120
Mailing Address - Fax:
Practice Address - Street 1:4189 PHOENIX AVE
Practice Address - Street 2:B
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-6013
Practice Address - Country:US
Practice Address - Phone:479-452-8146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty