Organization
SIMMONS EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SIMMONS OPTOMETRIST (OWNER OPTOMETRIST)
(870) 295-3636
Entity
Organization
Contact information
Practice address
219 W CHESTNUT ST, MARIANNA, AR 72360-2212
(870) 295-3636
Mailing address
219 W. CHESTNUT, MARIANNA, AR 72360
(870) 295-3636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2390
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171900722
—
AR
01
—
5G067
MEDICARE GROUP
AR
Enumeration date
08/01/2006
Last updated
08/30/2010
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