Organization
PHARMEDIC, INC
Active
Other names
Medical Arts Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W STEPHENS (CFO)
(501) 525-3606
Entity
Organization
Contact information
Practice address
4425 CENTRAL AVE, SUITE A, HOT SPRINGS, AR 71913
(501) 525-3606
(501) 525-0628
Mailing address
4425 CENTRAL AVE, SUITE A, HOT SPRINGS, AR 71913
(501) 525-3606
(501) 525-0628
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
I930734
AZ
332H00000X
Eyewear Supplier
25090
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49255
BCBS
AR
01
—
AR0734
EYEMED
OH
Enumeration date
07/30/2007
Last updated
10/22/2013
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