Organization
CENTRAL ARKANSAS LASIK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M. PENICK III M.D. (OPHTHALMOLOGIST/LASIK SURGEON)
(501) 712-5200
Entity
Organization
Contact information
Practice address
220 N VAN BUREN ST, LITTLE ROCK, AR 72205-3650
(501) 712-5200
(501) 353-1221
Mailing address
1900 SHADOW LN, LITTLE ROCK, AR 72207-2018
(501) 554-6112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
12/23/2024
Last updated
01/13/2025
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