Basic Information
| Provider Information | |||||||||
| NPI: | 1184020893 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SIMPSON & PARNELL OD PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 310 THOMPSON AVE | ||||||||
| Address2: | |||||||||
| City: | EL DORADO | ||||||||
| State: | AR | ||||||||
| PostalCode: | 717304569 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8708624216 | ||||||||
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| Practice Location | |||||||||
| Address1: | 310 THOMPSON AVE | ||||||||
| Address2: | |||||||||
| City: | EL DORADO | ||||||||
| State: | AR | ||||||||
| PostalCode: | 717304569 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8708624216 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2014 | ||||||||
| LastUpdateDate: | 11/06/2014 | ||||||||
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| AuthorizedOfficialLastName: | SIMPSON | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | SCOTT | ||||||||
| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 8708624216 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.