| |
302 N. Phoenix Ave., Clark Eye Clinic, Russellville,, AR 72801 | |
(479) 967-4711 | |
(479) 967-4485 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 302 N. Phoenix Ave., Russellville,, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1184967291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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302 North Phoenix Ave, Russellville, AR 72801 Ph: (479) 967-4711 | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville,, AR 72801 Ph: (479) 967-4711 |