Organization
VISION CARE CENTER OF NORTHEAST ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BACOT (ADMINISTRATOR)
(870) 932-2211
Entity
Organization
Contact information
Practice address
623 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-2211
(870) 972-5152
Mailing address
623 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-2211
(870) 972-5152
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142619002
—
AR
05
—
142990722
—
AR
Enumeration date
06/30/2006
Last updated
09/25/2024
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