Organization
EYE PHYSICIANS AND SURGEONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY L. SCALES (CLINIC ADMINISTRATOR)
(501) 985-0616
Entity
Organization
Contact information
Practice address
521 MARSHALL RD, JACKSONVILLE, AR 72076-3749
(501) 985-0616
(501) 985-0715
Mailing address
521 MARSHALL RD, JACKSONVILLE, AR 72076-3749
(501) 985-0616
(501) 985-0715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117977002
—
AR
05
—
146415722
—
AR
Enumeration date
02/22/2006
Last updated
06/21/2012
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