Provider Demographics
NPI:1922019314
Name:SPRINGHILL OPTICAL COMPANY
Entity type:Organization
Organization Name:SPRINGHILL OPTICAL COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:YORK
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-758-7627
Mailing Address - Street 1:3401 SPRINGHILL DRIVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2926
Mailing Address - Country:US
Mailing Address - Phone:501-758-7627
Mailing Address - Fax:501-758-9499
Practice Address - Street 1:3401 SPRINGHILL DRIVE
Practice Address - Street 2:SUITE 250
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2926
Practice Address - Country:US
Practice Address - Phone:501-758-7627
Practice Address - Fax:501-758-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARL980506156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0496720001Medicare ID - Type UnspecifiedPALMETTO GBA DURABLE MEDI