Individual
ANDY LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, PA
Contact information
Practice address
1 PARK DR STE B, HOLIDAY ISLAND, AR 72631-9221
(479) 253-4040
(479) 253-5636
Mailing address
1 PARK DR STE B, HOLIDAY ISLAND, AR 72631-9221
(479) 253-4040
(479) 253-5636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2430
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126039722
—
AR
Enumeration date
02/09/2006
Last updated
05/16/2018
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