Organization
ARKANSAS EYECARE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM D. COOKE O.D. (OWNER)
(870) 793-4681
Entity
Organization
Contact information
Practice address
2402 HARRISON ST, BATESVILLE, AR 72501-7421
(870) 793-4681
(870) 793-7745
Mailing address
2402 HARRISON ST, BATESVILLE, AR 72501-7421
(870) 793-4681
(870) 793-7745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102740722
—
AR
01
—
49652
BCBS
AR
01
—
90327300040
QUALCHOICE
AR
Enumeration date
03/20/2008
Last updated
06/25/2008
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