Provider Demographics
NPI:1386756369
Name:NEVINS, WILLIAM HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HENRY
Last Name:NEVINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:102 E PLEASURE AVE
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7710
Mailing Address - Country:US
Mailing Address - Phone:501-268-2201
Mailing Address - Fax:501-268-0208
Practice Address - Street 1:102 E PLEASURE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-7710
Practice Address - Country:US
Practice Address - Phone:501-268-2201
Practice Address - Fax:501-268-0208
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC4161207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR101536001Medicaid
AR101536001Medicaid
AR0552190001Medicare NSC
ARD04815Medicare UPIN