JENNIFER E STAFFORD (NPI# 1649526807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649526807 |
| Entity Type | Individual |
| Full Name | JENNIFER E STAFFORD |
| Credential | O.D. |
| Practice Address |
741 E Van Asche Dr Fayetteville AR 72703 |
| Mailing Address |
741 E Van Asche Dr Fayetteville AR 72703-4916 |
| Practice Telephone | 4794425227 |
| Practice Fax Number | 4795824952 |
| Mailing Telephone | 4794425227 |
| Mailing Fax Number | 4795824952 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2752 | OK | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 2673 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 199451722 | 05 | |
| AR | BCBS | 5WW45 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568733657 | Jennifer Wade Stafford | Counselor | 202639 E County Road 42, Woodward, OK 73801-5442 | 2012-01-20 |
| 1114308921 | Jennifer Stafford | Registered Nurse | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-06-17 |
| 1437418365 | Jennifer L. Stafford | Counselor | 138 W 25th St, 6th Floor, #17, New York, NY 10001-7405 | 2012-05-12 |
| 1811151574 | Jennifer M Stafford | Dentist | 201 Sherman Ave West, Fort Atkinson, WI 53538 | 2008-07-11 |
| 1417154089 | Jennifer Marie Stafford | Physical Therapist | 5 Harris Ct, Building T Suite 102, Monterey, CA 93940-5750 | 2007-06-28 |
| 1801016423 | Jennifer Andreu Stafford | Speech-Language Pathologist | 877 3rd St, Ste. 1, Chipley, FL 32428-1827 | 2007-04-26 |
| Street Address |
741 E VAN ASCHE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346220001 | Carol Esther Vanscyoc | Optometrist | 741 E Van Asche Dr, Fayetteville, AR 72703 | 2006-01-19 |
| 1992232235 | Kaitlin Spikes | Optometrist | 741 E Van Asche Dr, Fayetteville, AR 72703 | 2017-05-17 |
| 1164714861 | Sarah Marie Covey | Ophthalmology | 741 E Van Asche Dr, Fayetteville, AR 72703 | 2011-05-12 |
| 1952352106 | Peter M Daut | Ophthalmology | 741 E Van Asche Dr, Fayetteville, AR 72703 | 2006-05-12 |
| 1598745713 | Paul Morriss Henry | Ophthalmology | 741 E Van Asche Dr, Fayetteville, AR 72703 | 2006-01-23 |
| 1295715936 | Henry Eye Clinic | Ophthalmology | 741 E Van Asche Dr, Fayetteville, AR 72703-4916 | 2006-01-19 |
| 1386624039 | Morriss Murphey Henry | Ophthalmology | 741 E Van Asche Dr, Fayetteville, AR 72703 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| 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 |
|---|---|---|---|---|
| 1679103220 | Atl Optical LLC | Optometrist | 1135 Highway 85 N Ste D, Fayetteville, GA 30214-2085 | 2020-01-23 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1922515808 | Focused Family Eye Care, Pllc | Optometrist | 3730 N Vantage Dr, Fayetteville, AR 72703-5442 | 2018-01-02 |
| 1952829186 | Davis Eye Associates Inc. | Optometrist | 2901 E Zion Rd Ste 13, Fayetteville, AR 72703-5070 | 2017-09-08 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1356730493 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 326 Glensford Dr, Suite 108, Fayetteville, NC 28314 | 2015-01-13 |
| 1013314608 | Ashley Ballard | Optometrist | 326 Glensford Dr Ste 108, Fayetteville, NC 28314-3219 | 2014-11-25 |
| 1891108924 | Focus Vision Optometric Care, Pllc | Optometrist | 1594 Skibo Rd, Fayetteville, NC 28303-3478 | 2014-06-06 |
| 1336488204 | Northwest Vision Group | Optometrist | 3215 E Summershade Dr, Fayetteville, AR 72703-4375 | 2013-02-12 |
| 1912257247 | Zachary Robert Engle | Optometrist | 419 Cross Creek Mall, Ste 302, Fayetteville, NC 28303-7285 | 2012-09-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on JENNIFER E STAFFORD.
| 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.