Organization
SCOTT EYE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN THOMAS MORDEN OD (OWNER / OPTOMETRIST)
(479) 968-3937
Entity
Organization
Contact information
Practice address
740 BOSTON ST, DANVILLE, AR 72833-7006
(479) 495-3937
Mailing address
214 E 4TH ST, RUSSELLVILLE, AR 72801-5134
(479) 968-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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