Organization
AMY J S DAIBER OD PA
Active
Other names
Daiber Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY JEANINE DAIBER OD (PRESIDENT)
(479) 967-6113
Entity
Organization
Contact information
Practice address
204 N FRONT ST, DAIBER VISION CARE, DARDANELLE, AR 72834-3824
(479) 967-6113
(479) 968-6932
Mailing address
204 N FRONT ST, DARDANELLE, AR 72834-3824
(479) 229-1467
(479) 229-1260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1224667722
—
AR
01
—
48605
BLUE CROSS BLUE SHIELD GR
—
Enumeration date
02/05/2007
Last updated
05/18/2009
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