Provider Demographics
NPI:1528743481
Name:PARAGOULD FAMILY VISION PLLC
Entity type:Organization
Organization Name:PARAGOULD FAMILY VISION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:DUNNAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:870-236-1313
Mailing Address - Street 1:2207 LINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-6120
Mailing Address - Country:US
Mailing Address - Phone:870-236-1313
Mailing Address - Fax:
Practice Address - Street 1:2207 LINWOOD DR
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-6120
Practice Address - Country:US
Practice Address - Phone:870-236-1313
Practice Address - Fax:870-236-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty