Organization
SPECIALTY EYECARE OF SOUTH ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT CAVIN CLAYCOMB M.D. (OWNER)
(870) 367-8534
Entity
Organization
Contact information
Practice address
301 HIGHWAY 425 S, MONTICELLO, AR 71655-4611
(870) 367-8534
(870) 367-0264
Mailing address
301 HIGHWAY 425 S, MONTICELLO, AR 71655-4611
(870) 367-8534
(870) 367-0264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2158
AR
207W00000X
Ophthalmology Physician
Primary
C7907
AR
Other
Enumeration date
03/05/2009
Last updated
03/28/2011
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