Deblack Eye Care Center, P.a.

NPI 1053486803 - Optometrist - 152W00000X

NPI Details
NPI 1053486803
Enumeration Date 11/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUSAN SANDERS SUSAN
Position OPTOMETRIST
Phone (501) 329-7878
Fax (501) 329-7881
Practice Location
4150 TYLER STREET,
SUITE 1
CONWAY AR, 72034, US
Phone (501) 329-7878
Fax (501) 329-7881
Business Location
4150 TYLER STREET,
SUITE 1
CONWAY AR, 72034, US
Phone (501) 329-7878
Fax (501) 329-7881
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
Remove 1053486803 NPI Number
 

According to our database, Deblack Eye Care Center, P.a. NPI is 1053486803, taxonomy code is 152W00000X Deblack Eye Care Center, P.a. physically located at 4150 Tyler Street,, Conway AR, 72034. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053486803 NPI number is provided on an as is basis without warranty of any kind. 1053486803 is maintained by the National Plan & Provider Enumeration System. The contents of Deblack Eye Care Center, P.a. are for informational purposes only.