Organization
DEBLACK EYE CARE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN SANDERS DEBLACK O.D. (OPTOMETRIST)
(501) 329-7878
Entity
Organization
Contact information
Practice address
4150 TYLER STREET,, SUITE 1, CONWAY, AR 72034
(501) 329-7878
(501) 329-7881
Mailing address
4150 TYLER STREET,, SUITE 1, CONWAY, AR 72034
(501) 329-7878
(501) 329-7881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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