Individual
LUCAS TRENT OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
53 HIGHWAY 70 E, STE B, GLENWOOD, AR 71943-8853
(870) 356-4671
Mailing address
PO BOX 680, GLENWOOD, AR 71943-0680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2701
AR
Other
Enumeration date
06/26/2014
Last updated
03/13/2017
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