Organization
W. BRENT HALL, O.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRENT HALL O.D. (OWNER)
(870) 541-2020
Entity
Organization
Contact information
Practice address
3001 W 28TH AVE, PINE BLUFF, AR 71603-4802
(870) 541-2020
(870) 536-0358
Mailing address
3001 W 28TH AVE, PINE BLUFF, AR 71603-4802
(870) 541-2020
(870) 536-0358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158851722
—
AR
Enumeration date
07/12/2006
Last updated
09/10/2008
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