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Organization

HERBERT A. FISHER, O.D

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERBERT A FISHER (OPTOMETRIST)
(501) 653-2288
Entity
Organization

Contact information

Practice address
3121 N REYNOLDS RD STE 4, BRYANT, AR 72022-9190
(501) 653-2288
(501) 653-2404
Mailing address
3121 N REYNOLDS RD STE 4, BRYANT, AR 72022-9190
(501) 653-2288
(501) 653-2404

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2062
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104318722
AR
01
AR2062
OPTOMETRIC LICENSE
AR
01
OP1100020
OPTOMETRIC PHYSICIAN
AR
Enumeration date
03/07/2008
Last updated
06/16/2008
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