Organization
VISION CARE CENTER OF NORTHEAST ARKANSAS LLC
Active
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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