Individual
DR. PENNY FRESHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
900 S BOWMAN RD, LITTLE ROCK, AR 72211-3617
(501) 904-5009
(501) 217-8679
Mailing address
900 S BOWMAN RD, LITTLE ROCK, AR 72211-3617
(501) 904-5009
(501) 217-8679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2483
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135365722
—
AR
01
—
19983000040
QUALCHOICE
AR
01
—
AR2483
AR LICENSE
AR
01
—
P00273197
RAILROAD MEDICARE
AR
Enumeration date
01/09/2007
Last updated
11/07/2018
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