Organization
LITTLE ROCK AIR FORCE BASE EYE CARE
Active
Parent organization
MAUMELLE EYE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAUMELLE EYE CARE
Authorized official
PROF. DEREK SCOTT LONG O.D. (OWNER)
(501) 983-0106
Entity
Organization
Contact information
Practice address
6TH STREET, BLDG 787, LITTLE ROCK AIR FORCE BASE, LITTLE ROCK, AR 72099
(501) 983-0106
(501) 983-0008
Mailing address
6TH STREET, BLDG 787, LITTLE ROCK AIR FORCE BASE, LITTLE ROCK, AR 72099
(501) 983-0106
(501) 983-0008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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