Organization
GATES EYE CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DEON GATES O.D. (PRESIDENT)
(870) 523-3200
Entity
Organization
Contact information
Practice address
200 N HARWOOD ST, NEWPORT, AR 72112-3683
(870) 523-3200
(870) 523-3204
Mailing address
200 N HARWOOD ST, NEWPORT, AR 72112-3683
(870) 523-3200
(870) 523-3204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PC-116
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148672722
—
AR
Enumeration date
02/24/2007
Last updated
08/02/2010
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