Dr. Diana L Shipman
Ophthalmologist
1100 N College Ave
Fayetteville
, Arkansas 72703-1944
Dr. Diana L Shipman
Ophthalmologist
1100 N College Ave
Fayetteville
, Arkansas 72703-1944
(321) 544-5060
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Diana L Shipman
- 2438 E Frontier Elm Dr
- Fayetteville, AR
- Zip : 72703-4948
- Phone : (321) 544-5060
Second Address
- Dr. Diana L Shipman
- 1100 N College Ave
- Fayetteville, AR
- Zip : 72703-1944
- Fax : (479) 587-6105
- Phone : (479) 444-5093
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | E1906 | AR |
National Provider Identifier
| NPI | 1003879313 |
|---|---|
| Provider Name | Dr. Diana L Shipman |
| First Address | Fayetteville, AR 72703-4948 |
| Second Address | Fayetteville, AR 72703-1944 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2006 |
| Last Update Date | 23/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 156173001 | (05) | TX |
| 2762211100 | (05) | FL |
| H55962 | (02) | FL |
| H55962 | (02) | TX |
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.