DR. AMY JEANINE DAIBER (NPI# 1609926344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609926344 |
| Entity Type | Individual |
| Full Name | DR. AMY JEANINE DAIBER |
| Credential | OD |
| Practice Address |
317 East Parkway Dr Russellville AR 72801-3915 |
| Practice Telephone | 4799676113 |
| Practice Fax Number | 4799686932 |
| Mailing Telephone | 4799676113 |
| Mailing Fax Number | 4799686932 |
| Enumeration Date | 2007-01-12 |
| 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 | AR2402 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5291236 | 01 | |
| BCBS | 48605 | 01 | |
| EYEMED | AR2402 | 01 | |
| QUAL CHOICE | 15062000041 | 01 | |
| HUMANA | AR0017505 | 01 | |
| TRICAE | A002 | 01 |
| Street Address |
317 EAST PARKWAY DR |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| 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 |
|---|---|---|---|---|
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1114115433 | Scott Eye Clinic Pa | Optometrist | 214 E 4th St, Russellville, AR 72801-5134 | 2007-10-11 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1033246707 | Barrow Eye Center | Optometrist | 709 E 4th St, Russellville, KY 42276-1859 | 2007-02-28 |
| 1083752570 | Lori J Canfield | Optometrist | 317 East Parkway Drive, Daiber Vision Care, Russellville, AR 72801-3915 | 2007-02-05 |
| 1649352741 | Martha R Morrow | Optometrist | 15255 Highway 43, Suite 1, Russellville, AL 35653-1924 | 2006-10-19 |
| 1710088711 | Jeremy Shane Campbell | Optometrist | 14378 Highway 43, Russellville, AL 35653-2568 | 2006-09-25 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1467487744 | Henry Keith Scott | Optometrist | 214 East 4th St, Russellville, AR 72801 | 2006-07-12 |
| 1588610372 | Martin J Jensen | Optometrist | 105 Robins Way, Suite 206, Russellville, KY 42276-1820 | 2006-05-25 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on DR. AMY JEANINE DAIBER.
| 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.