| |
1009 Highway 18, Ar Care, Lake City, AR 72437-9622 | |
(870) 598-4002 | |
(870) 215-0288 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1009 Highway 18, Lake City, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245522291 | NPI | - | NPPES |
1932179942 | Other | AR | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2384 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
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1009 Highway 18, Ar Care, Lake City, AR 72437-9622 Ph: (870) 598-4002 | 1009 Highway 18, Ar Care, Lake City, AR 72437-9622 Ph: (870) 598-4002 |