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Organization

CHARLES TODD, PA

Active
Other names
Park-Todd Eye Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES TODD O.D. (OWNER)
(501) 329-6859
Entity
Organization

Contact information

Practice address
552 LOCUST ST, CONWAY, AR 72034-5325
(501) 329-6859
(501) 329-6850
Mailing address
552 LOCUST ST, CONWAY, AR 72034-5325
(501) 329-6859
(501) 329-6850

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2476
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135733722
AR
Enumeration date
10/27/2006
Last updated
03/01/2010
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