Organization
THE LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN HOLSTED UPSHAW O.D. (REGIONAL MANAGER)
(405) 842-6060
Entity
Organization
Contact information
Practice address
10809 EXECUTIVE CENTER DR, STE 201, LITTLE ROCK, AR 72211-4353
(501) 588-0072
Mailing address
104 NIXON LN, AUSTIN, AR 72007-0938
(501) 941-0291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2585
AR
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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