Organization
DEREK S LONG OD INC
Active
Other names
Eye Exams, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK S LONG OD (DOCTOR)
(501) 803-3937
Entity
Organization
Contact information
Practice address
4425 CENTRAL AVE STE B, HOT SPRINGS, AR 71913-7297
(501) 525-0501
(501) 525-0628
Mailing address
115 AUDUBON DR STE 8, MAUMELLE, AR 72113-7409
(501) 803-3937
(501) 803-3962
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2547
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180260722
—
AR
Enumeration date
05/28/2008
Last updated
05/24/2010
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