| |
31 Business Park Drive, Suite A, Greenbrier, AR 72058 | |
(501) 679-7131 | |
(501) 679-7130 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 31 Business Park Drive, Greenbrier, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821801424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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3005 Fountain Dr, Conway, AR 72034-3684 Ph: (501) 329-9851 | 31 Business Park Drive, Suite A, Greenbrier, AR 72058 Ph: (501) 679-7131 |