Individual
MRS. AMANDA D CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1225 W. BEEBECAPPS EXPY, SEARCY, AR 72143
(501) 268-5808
(501) 305-3370
Mailing address
11225 HURON LN STE 200A, LITTLE ROCK, AR 72211-1861
(501) 268-5808
(501) 305-3370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2637
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181917722
—
AR
Enumeration date
08/20/2009
Last updated
06/25/2020
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