Organization
AMEDCO ARKANSAS PLLC
Active
Other names
Clark Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP H CLARK OD (OWNER (PRESIDENT))
(479) 967-4711
Entity
Organization
Contact information
Practice address
302 N. PHOENIX AVE., CLARK EYE CLINIC, RUSSELLVILLE,, AR 72801
(479) 967-4711
(479) 967-4485
Mailing address
302 NORTH PHOENIX AVE, RUSSELLVILLE, AR 72801
(479) 967-4711
(479) 967-4485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
09/19/2014
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