Teri K. Whittaker I OD

NPI 1982615977 - Optometrist - 152W00000X

NPI Details
NPI 1982615977
Gender Female
Enumeration Date 08/11/2006
Last Updated 09/21/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3805 W 28TH AVE
PINE BLUFF AR, 71603-4774, US
Phone (870) 536-4100
Fax (870) 536-3100
Business Location
3805 W 28TH AVE
PINE BLUFF AR, 71603-4774, US
Phone (870) 536-4100
Fax (870) 536-3100
Toxanomy
Taxonomy Code 152W00000X
License State Arkansas
License Number 2573
Remove 1982615977 NPI Number
 

According to our database, Teri K. Whittaker I OD NPI is 1982615977, taxonomy code is 152W00000X and license number is 2573, license state is located at Arkansas. Teri K. Whittaker I OD physically located at 3805 W 28th Ave, Pine Bluff AR, 71603-4774. NPI Number Teri K. Whittaker I OD has the Individual type.

Sponsored links

1982615977 NPI number is provided on an as is basis without warranty of any kind. 1982615977 is maintained by the National Plan & Provider Enumeration System. The contents of Teri K. Whittaker I OD are for informational purposes only.