Organization
BLANDFORD OPTICAL SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RODNEY ROZAS M.D. (OWNER)
(501) 664-6123
Entity
Organization
Contact information
Practice address
5 SAINT VINCENT CIR, SUITE 101, LITTLE ROCK, AR 72205-5412
(501) 664-6123
Mailing address
5 SAINT VINCENT CIR, SUITE 101, LITTLE ROCK, AR 72205-5412
(501) 664-6123
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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