Provider Demographics
NPI:1730340506
Name:DHT INC
Entity type:Organization
Organization Name:DHT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:H
Authorized Official - Last Name:THOMASON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:501-224-7444
Mailing Address - Street 1:10300 N RODNEY PARHAM RD
Mailing Address - Street 2:COLONY W SHOP CT
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-0000
Mailing Address - Country:US
Mailing Address - Phone:501-224-7444
Mailing Address - Fax:501-224-0849
Practice Address - Street 1:10300 RODNEY PARHAM RD
Practice Address - Street 2:COLONY W SHOP CT
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-0000
Practice Address - Country:US
Practice Address - Phone:501-224-7444
Practice Address - Fax:501-224-0849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR124423722Medicaid
AR49109Medicare UPIN