Individual
DR. JUSTIN S MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2650 JOHN HARDEN DR, SUITE D, JACKSONVILLE, AR 72076-1886
(501) 982-0032
(501) 982-0121
Mailing address
101 N MAIN ST, SUITE D, SEARCY, AR 72143-5421
(501) 982-0032
(501) 982-0121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2526
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148119722
—
AR
01
—
1487757738
MCMINN EYE CARE CENTER
AR
Enumeration date
08/24/2005
Last updated
09/14/2016
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