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Organization

EYE CARE OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNAN ARTIMUS DOAN O.D. (PART OWNER)
(501) 225-4507
Entity
Organization

Contact information

Practice address
9800 BAPTIST HEALTH DR STE 301, LITTLE ROCK, AR 72205-6230
(501) 225-4507
(501) 225-9299
Mailing address
9800 BAPTIST HEALTH DRIVE SUITE 301, LITTLE ROCK, AR 72205
(501) 225-4507
(501) 225-9299

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126878002
AR
Enumeration date
02/20/2007
Last updated
01/23/2020
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