Individual
DR. JIM ELDREN TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST OD
Contact information
Practice address
4284 STEGECOACH RD, REDFIELD, AR 72132
(501) 397-5596
(501) 397-5596
Mailing address
4284 STEGECOACH RD, REDFIELD, AR 72132
(501) 397-5596
(501) 397-5596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2192
AR
152W00000X
Optometrist
Primary
OP1100024
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2192
ARKANSAS OPTOMETRY
AR
01
—
OP1100024
ARKANSAS OPTOMETRY
AR
Enumeration date
03/30/2006
Last updated
07/08/2007
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