| NPI | 1124588405 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-03-22 |
| Last Updated | 2022-06-30 |
| Authorized Official | Sue Downes Secretary Phone: 7038478899 |
| Mailing Address | 8614 Westwood Center Dr Fl 9 Vienna, VA 22182-2442 United States Phone: (703) 847-8899 | Fax: (571) 223-6780 📍 View Map |
| Primary Practice Address | 310 Thompson Ave El Dorado, AR 71730-4569 United States Phone: (870) 862-4216 | Fax: (870) 862-2423 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | — | — |
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About NPI 1124588405
Med Southwest Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124588405. The primary specialty listed is Optometrist. The organization is located in El Dorado, AR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-03-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124588405?
NPI 1124588405 belongs to Med Southwest Pllc, a Optometrist in El Dorado, AR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124588405 active?
The current status of NPI 1124588405 in the NPPES registry is Active. The record was last updated on 2022-06-30.
What specialty is NPI 1124588405?
NPI 1124588405 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124588405?
You can verify NPI 1124588405 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124588405?
The primary practice address on file for NPI 1124588405 is 310 Thompson Ave, El Dorado, AR 71730-4569. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124588405 issued?
NPI 1124588405 was first issued (enumerated) on 2019-03-22. The NPPES record was last updated on 2022-06-30.
Practice Location Map
Med Southwest Pllc is located at 310 Thompson Ave, El Dorado, AR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Med Southwest Pllc. All records sourced from the CMS NPPES registry.