Organization
LANE EYE CARE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON J LANE O.D. (PRESIDENT)
(870) 731-5706
Entity
Organization
Contact information
Practice address
119 E SECOND ST, MCCRORY, AR 72101
(870) 731-5706
(870) 731-2168
Mailing address
PO BOX 630, MCCRORY, AR 72101-0630
(870) 731-5706
(870) 731-5706
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
D22219
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106583722
—
AR
Enumeration date
05/18/2007
Last updated
10/21/2008
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