NPI 1356614556

Brian W Buell Eye Care PA

Organisation Exclusive Provider Organization Fayetteville, AR

Practice location

Address: 4083 N Shiloh Dr Suite One, Fayetteville, AR 72703-5300
Phone: (479) 521-7774
Fax: (479) 521-4928

Authorised official

Name: Brian Buell
Title: President
Phone: (479) 521-7774

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence PC-055 (AR)

Other Exclusive Provider Organization providers in Arkansas →

Registry record

NPI: 1356614556
Entity type: Organization
NPI issued: 17 Feb 2012
Record last updated: 20 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.