Organization
IIII OPTICAL - THE VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY OFFUTT (CONTROLLER)
(870) 536-4100
Entity
Organization
Contact information
Practice address
17200 CHENAL PKWY STE 440, LITTLE ROCK, AR 72223-5970
(501) 830-2020
(501) 830-2021
Mailing address
3805 W 28TH AVE, PINE BLUFF, AR 71603-4774
(870) 536-4100
(870) 534-3982
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
04/21/2021
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