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Organization

WELLS VISION CARE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CASEY WELLS O.D. (OWNER)
(870) 236-7713
Entity
Organization

Contact information

Practice address
219 W MAIN ST, PARAGOULD, AR 72450-4327
(870) 236-7713
(870) 236-7714
Mailing address
219 W MAIN ST, P.O. BOX 362, PARAGOULD, AR 72450-4327
(870) 236-7713
(870) 236-7714

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2617
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168700722
AR
Enumeration date
08/13/2013
Last updated
04/14/2014
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