Organization
BERRYVILLE EYECARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARANDA DEAN (ACCTS RECD)
(870) 350-0777
Entity
Organization
Contact information
Practice address
404 W COLLEGE AVE, BERRYVILLE, AR 72616-3142
(870) 423-2576
(870) 423-6750
Mailing address
11225 HURON LN STE 200A, LITTLE ROCK, AR 72211-1861
(870) 423-2576
(870) 423-6750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166252722
—
AR
Enumeration date
01/30/2007
Last updated
06/25/2020
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