Triad Eye Institute PLLC
Ophthalmology in Fayetteville, AR. Organization (NPI-2).
NPI number1619702735
StatusActive
Last updated in NPPESSep 6, 2024
Details
- NPI
- 1619702735
- Entity type
- Organization (NPI-2)
- Legal business name
- Triad Eye Institute PLLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2024
- Certification date
- Sep 6, 2024
- Last updated
- Sep 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
2783 N Shiloh DrFayetteville, AR 72704-6983
Phone 479-442-8653
Mailing address
6140 S Memorial DrTulsa, OK 74133-1933
Phone 918-252-2020 · Fax 918-307-1983
Other practice locations
1102 Nw Lowes Ave Ste 6
Bentonville, AR 72712-4978
Bentonville, AR 72712-4978
Phone 479-442-8653
Authorized official
Ryan Patrick Conley
Manager
9182522020
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