Organization
SEARS OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK RAKOTZ (OWNER)
(479) 484-9200
Entity
Organization
Contact information
Practice address
5111 ROGERS AVE, SUITE 19, FORT SMITH, AR 72903-2047
(479) 484-9200
Mailing address
5111 ROGERS AVE, SUITE 19, FORT SMITH, AR 72903-2047
(479) 484-9200
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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