DR. JEFFREY DAVID COATS (NPI# 1770995201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770995201 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DAVID COATS |
| Practice Address |
800 Se Walton Blvd Ste 12 Bentonville AR 72712-5398 |
| Practice Telephone | 4792683268 |
| Mailing Telephone | 4792683268 |
| Mailing Fax Number | 4792684019 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WX0102X |
Optometrist Specialization: Occupational Vision |
2730 | AR | Eye and Vision Services Providers |
| Street Address |
800 SE WALTON BLVD STE 12 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-5398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992997969 | Derrick Allyn Pierce | Optometrist | 800 Se Walton Blvd Ste 12, Bentonville, AR 72712-5398 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 152WX0102X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Occupational Vision |
| Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376506543 | Wayne Provines | Optometrist | 314 Mdg/sgo, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 | 2006-04-10 |
| City | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on DR. JEFFREY DAVID COATS.
| 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.