| |
1122 Main St, Suite 12, Vilonia, AR 72173-9524 | |
(501) 796-8040 | |
(501) 796-3773 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1122 Main St, Vilonia, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740467117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2576 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
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1122 Main St, Suite 12, Vilonia, AR 72173-9524 Ph: (501) 796-8040 | 1122 Main St, Suite 12, Vilonia, AR 72173-9524 Ph: (501) 796-8040 |
Dr. David Justin Manning, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1122 Main St, Suite 12, Vilonia, AR 72173 Phone: 501-796-8040 Fax: 501-796-3773 |