Sarah S Lunsford, OD PLLC
Organization Active NPI Optometrist · Hensley, AR
NPI 1700604667 · NPPES record last updated Oct 5, 2024
Key facts
- NPI
- 1700604667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- SARAH S LUNSFORD, OD PLLC
- Practice address
- 24005 Arch Street Pike Ste 18
Hensley, AR 72065-5010 - Phone
- (501) 588-2650
- NPI assigned
- Sep 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Sarah S Lunsford, OD
- Title
- Optometrist
- Phone
- (501) 749-1638
Practitioners 1
-
Sarah Suzanne Lunsford, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241124000086 | AR | Part B Supplier - Clinic/Group Practice | 0345775664 |
Receives reassigned benefits from 1 practitioner Practice locations: Hensley, AR |
National Provider Directory
Locations
24005 Arch Street Pike
Hensley, AR 72065
24005 Arch Street Pike
Ste 18
Hensley, AR 72065
Phone (501) 588-2650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
24005 Arch Street Pike Ste 18
Hensley, AR 72065-5010
Mailing address
5481 Plantation Dr
Little Rock, AR 72206-8844
Phone (501) 749-1638
Other names
- Legacy Eyecare
Other providers in Hensley, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.