Dr. Charles G Crosslin
Optomitrist - Corneal and Contact Lenses
7345 Highway 62 W
Gassville
, Arkansas 72635
Dr. Charles G Crosslin
Optomitrist - Corneal and Contact Lenses
7345 Highway 62 W
Gassville
, Arkansas 72635
(870) 424-4979
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Charles G Crosslin
- Po Box 444
- Mountain Home, AR
- Zip : 72654-0444
- Fax : (870) 424-4979
- Phone : (870) 424-4900
Second Address
- Dr. Charles G Crosslin
- 7345 Highway 62 W
- Gassville, AR
- Zip : 72635
- Fax : (870) 471-9029
- Phone : (870) 435-3333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2326 | AR |
National Provider Identifier
| NPI | 1124028493 |
|---|---|
| Provider Name | Dr. Charles G Crosslin |
| First Address | Mountain Home, AR 72654-0444 |
| Second Address | Gassville, AR 72635 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2005 |
| Last Update Date | 15/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101232722 | (05) | AR |
| T20338 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.