Organization
FAMILY EYE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DEDMAN O.D., P.A. (PRESIDENT)
(870) 836-2525
Entity
Organization
Contact information
Practice address
515 CASH RD SW, CAMDEN, AR 71701-3706
(870) 836-2525
(870) 836-7252
Mailing address
515 CASH RD SW, CAMDEN, AR 71701-3706
(870) 836-2525
(870) 836-7252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PC-048
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49224
AR BCBS MEDIPAK
AR
01
—
895624
BLOCK VISION
AR
01
—
D415431885029
WAUSAU
AR
Enumeration date
06/24/2006
Last updated
10/29/2007
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