Individual
DR. JOHN E. STUCKEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9600 LILE DR, 230 DOCTORS PARK BUILDING, LITTLE ROCK, AR 72205-6326
(501) 227-6797
(501) 228-6336
Mailing address
9600 LILE DR, 230 DOCTORS PARK BUILDING, LITTLE ROCK, AR 72205-6326
(501) 227-6797
(501) 228-6336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2187
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105025722
—
AR
Enumeration date
03/23/2006
Last updated
12/07/2012
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