Organization
DR. DALE LADD PA
Active
Other names
Town Plaza Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DALE LADD OD (OPTOMETRIST)
(870) 793-6857
Entity
Organization
Contact information
Practice address
1119 N SAINT LOUIS, BATESVILLE, AR 72501-9458
(870) 793-6857
Mailing address
1119 N SAINT LOUIS, BATESVILLE, AR 72501-9458
(870) 793-6857
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2425
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126161722
—
AR
05
—
127707722
—
AR
01
—
48815
BLUECROSSBLUESHEILD
AR
Enumeration date
02/27/2007
Last updated
11/12/2020
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