Organization
FAMILY EYE CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY NUTT O.D. (PRESIDENT)
(870) 836-2525
Entity
Organization
Contact information
Practice address
515 CASH RD SW, CAMDEN, AR 71701-3706
(870) 836-2525
(870) 836-7252
Mailing address
515 CASH RD SW, CAMDEN, AR 71701-3706
(870) 836-2525
(870) 836-7252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2570
AR
152W00000X
Optometrist
2582
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181078722
—
AR
01
—
57839
ARK BCBS-MEDIPAK
AR
01
—
57839
BLUE ADVANTAGE
—
Enumeration date
12/15/2009
Last updated
01/08/2014
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