Organization
SPECIALTY EYECARE OF SOUTH ARKANSAS LLC
Active
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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