Provider Demographics
NPI:1255593232
Name:DR BRYAN CAPLINGER PA
Entity type:Organization
Organization Name:DR BRYAN CAPLINGER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:870-358-2236
Mailing Address - Street 1:PO BOX 359
Mailing Address - Street 2:
Mailing Address - City:MARKED TREE
Mailing Address - State:AR
Mailing Address - Zip Code:72365
Mailing Address - Country:US
Mailing Address - Phone:870-358-2236
Mailing Address - Fax:870-358-4692
Practice Address - Street 1:116 NATHAN
Practice Address - Street 2:
Practice Address - City:MARKED TREE
Practice Address - State:AR
Practice Address - Zip Code:72365
Practice Address - Country:US
Practice Address - Phone:870-358-2236
Practice Address - Fax:870-358-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2030152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0781900002Medicare NSC
AR5G020Medicare PIN