DR. SUSAN S DEBLACK (NPI# 1245224179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245224179 |
| Entity Type | Individual |
| Full Name | DR. SUSAN S DEBLACK |
| Credential | O.D. |
| Practice Address |
4150 Tyler St. Suite 1 Conway AR 72034 |
| Practice Telephone | 5013297878 |
| Mailing Telephone | 5013297878 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2410 | AR | Eye and Vision Services Providers |
| Street Address |
4150 TYLER ST. SUITE 1 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609235829 | Sthomasinc | Optometrist | 1315 Highway 501 Business, Suite A, Conway, SC 29526-9549 | 2016-02-16 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| 1548692668 | Sarah Davis | Optometrist | 4150 Tyler St, Suite 1, Conway, AR 72034-8513 | 2013-07-31 |
| 1700224227 | Barnes Cox Pa | Optometrist | 3900 Dave Ward Drive, Conway, AR 72034 | 2013-06-06 |
| 1770862716 | Realeyes Eye Care, LLC | Optometrist | 47b Poliquin Dr, Conway, NH 03818-1380 | 2011-08-09 |
| 1972735546 | Leigh E. Cox, O.d., P.a. | Optometrist | 821 Hogan Lane, Suite 500, Conway, AR 72034 | 2009-08-17 |
| 1043449713 | Rebecca M King | Optometrist | 201 Skyline Dr Ste 37, Conway, AR 72032-3500 | 2009-07-02 |
| 1063568038 | James Warren Stuckey | Optometrist | 1155 Highway 65 North, Conway, AR 72032-3500 | 2007-01-25 |
| 1053486803 | Deblack Eye Care Center, P.a. | Optometrist | 4150 Tyler Street, Suite 1, Conway, AR 72034 | 2006-11-21 |
| 1013087139 | Leigh E Cox | Optometrist | 821 Hogan Ln, Suite 500, Conway, AR 72034-7974 | 2006-11-08 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.