Provider Demographics
NPI:1245255074
Name:MCNAIR EYE CENTER
Entity type:Organization
Organization Name:MCNAIR EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:501-362-7006
Mailing Address - Street 1:15 INDUSTRIAL PARK ROAD
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543
Mailing Address - Country:US
Mailing Address - Phone:501-206-2020
Mailing Address - Fax:501-362-6451
Practice Address - Street 1:15 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-8533
Practice Address - Country:US
Practice Address - Phone:501-362-7006
Practice Address - Fax:501-362-6451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC4213207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR141688002Medicaid
ARD04780Medicare UPIN
ARCG5678Medicare PIN
AR141688002Medicaid
AR5C268Medicare PIN