Organization
BRANDON EYE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP F BRANDON O.D. (PRESIDENT)
(479) 756-1234
Entity
Organization
Contact information
Practice address
1600 W SUNSET AVE, SPRINGDALE, AR 72762-5136
(479) 756-1234
(479) 756-1087
Mailing address
1600 W SUNSET AVE, SPRINGDALE, AR 72762-5136
(479) 756-1234
(479) 756-1087
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PC-124
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17274000040
QUALCHOICE
AR
05
—
189802722
—
AR
Enumeration date
08/30/2006
Last updated
08/20/2013
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