Organization
SIMMONS EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SIMMONS O.D. (OPTOMETRIST OWNER)
(870) 734-2662
Entity
Organization
Contact information
Practice address
310 W CEDAR ST, BRINKLEY, AR 72021-2710
(870) 734-2662
Mailing address
310 W CEDAR ST, BRINKLEY, AR 72021-2710
(870) 734-2662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2390
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119930722
—
AR
01
—
5G067
BC/BS GROUP
AR
Enumeration date
05/01/2007
Last updated
10/14/2009
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