| |
72 W 2nd St, Waldron, AR 72958-7085 | |
(479) 637-5598 | |
(479) 637-1195 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 72 W 2nd St, Waldron, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043438807 | NPI | - | NPPES |
125850722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | AR2331 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
72 W 2nd St, Waldron, AR 72958-7085 Ph: (479) 637-5598 | 72 W 2nd St, Waldron, AR 72958-7085 Ph: (479) 637-5598 |