Organization
HARRELL EYE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACHELLE ANNETTE HARP (OFFICE MANAGER)
(870) 932-3341
Entity
Organization
Contact information
Practice address
1716 EXECUTIVE SQ, JONESBORO, AR 72401-6092
(870) 932-3341
(870) 932-4636
Mailing address
PO BOX 16607, JONESBORO, AR 72403-6710
(870) 932-3341
(870) 932-4636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2082
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47954
BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/16/2008
Last updated
01/16/2008
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