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Organization
PROFESSIONAL EYE CARE ASSOCIATES PA
Active
Organization
PROFESSIONAL EYE CARE ASSOCIATES PA
Active
Other names
Fant Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RUSSELL ORGAIN O.D. (OWNER)
(903) 831-5706
Entity
Organization
Contact information
Practice address
2901 RICHMOND RD, TEXARKANA, TX 75503-2125
(903) 831-5706
(903) 832-4506
Mailing address
PO BOX 9628, FAYETTEVILLE, AR 72703-0028
(903) 831-5706
(903) 832-4450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
03/24/2009
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