Individual
DR. CAROL ESTHER VANSCYOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
741 E VAN ASCHE DR, FAYETTEVILLE, AR 72703
(479) 442-5227
(479) 582-4952
Mailing address
741 E VAN ASCHE DR, FAYETTEVILLE, AR 72703-4916
(479) 442-5227
(479) 582-4952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2304
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15666000040
QUALCHOICE PROVIDER
AR
01
—
49363
BLUE CROSS PROVIDER
AR
Enumeration date
01/19/2006
Last updated
07/16/2018
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