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3609 Highway 367 N, Bald Knob, AR 72010-9404 | |
(870) 834-3339 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 3609 Highway 367 N, Bald Knob, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184041873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2666 (Arkansas) | Primary |
Provider Name | Jean A Stone |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073691218 PECOS PAC ID: 0345365672 Enrollment ID: I20100916000019 |
Provider Name | Elizabeth M Kilgore |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770897076 PECOS PAC ID: 4183819071 Enrollment ID: I20101117001274 |
Provider Name | Sam Cooke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780752022 PECOS PAC ID: 2062523541 Enrollment ID: I20110131000642 |
Provider Name | Hayden Harper Sowers |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801184098 PECOS PAC ID: 2365611969 Enrollment ID: I20111027000378 |
Mailing Address | Practice Location Address |
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2402 Harrison St, Batesville, AR 72501-7421 Ph: (870) 834-3339 | 3609 Highway 367 N, Bald Knob, AR 72010-9404 Ph: (870) 834-3339 |