Individual
JOHN T MCHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1014 W. MAIN ST, WALNUT RIDGE, AR 72476
(870) 886-2632
(870) 886-1514
Mailing address
1014 W. MAIN STREET, WALNUT RIDGE, AR 72476
(870) 886-2632
(870) 886-1514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2125
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102555722
—
AR
Enumeration date
10/06/2006
Last updated
09/15/2008
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