Individual
DR. BOBBY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
813 W CENTRAL AVE, SUITE 5, BENTONVILLE, AR 72712-5787
(479) 855-0009
(479) 876-7105
Mailing address
813 W CENTRAL AVE, SUITE 5, BENTONVILLE, AR 72712-5787
(479) 855-0009
(479) 876-7105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2518
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145384722
—
AR
Enumeration date
06/09/2005
Last updated
12/20/2013
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