Individual
DR. DUSTIN VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3150 HARRISON ST, BATESVILLE, AR 72501-7515
(870) 793-6544
Mailing address
3150 HARRISON ST, BATESVILLE, AR 72501-7515
(870) 793-6544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2657
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187164722
—
AR
Enumeration date
08/27/2010
Last updated
10/08/2012
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