Organization
FAMILY EYE CARE OF RUSSELLVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE MARGARET SNIDER OD (OWNER)
(479) 967-0600
Entity
Organization
Contact information
Practice address
2409 E MAIN ST, RUSSELLVILLE, AR 72802-9619
(479) 967-0600
Mailing address
2409 E MAIN ST, RUSSELLVILLE, AR 72802-9619
(479) 967-0600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2484
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C326
CLINIC NUMBER
AR
Enumeration date
01/04/2007
Last updated
02/21/2012
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