Organization
LANE EYE CARE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON J LANE O.D. (PRESIDENT)
(501) 225-4648
Entity
Organization
Contact information
Practice address
10700 N RODNEY PARHAM RD, LITTLE ROCK, AR 72212-4113
(501) 225-4648
(501) 225-8628
Mailing address
10700 N RODNEY PARHAM RD, LITTLE ROCK, AR 72212-4113
(501) 225-4648
(501) 225-8628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2219
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110944722
—
AR
Enumeration date
05/17/2007
Last updated
03/07/2008
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