Provider Demographics
NPI:1922060755
Name:FLIPPIN-WESTFALL EYECARE CENTER PC
Entity Type:Organization
Organization Name:FLIPPIN-WESTFALL EYECARE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:FLIPPIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:501-268-3577
Mailing Address - Street 1:410 W RACE AVE
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4133
Mailing Address - Country:US
Mailing Address - Phone:501-268-3577
Mailing Address - Fax:501-268-5631
Practice Address - Street 1:410 W RACE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4133
Practice Address - Country:US
Practice Address - Phone:501-268-3577
Practice Address - Fax:501-268-5631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPC013152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0215420001OtherMEDICARE DMERC REGION C
AR882128OtherHEALTHLINK PPO
ARDA9951OtherRAIL ROAD MEDICARE
AR57373OtherMEDICARE DMERC
0215420001OtherDMERC
AR106500722Medicaid
AR731543OtherHEALTHLINK PPO
0215420001Medicare NSC
AR57373Medicare PIN