Organization
RONALD A BURKS OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A BURKS OD (OWNER)
(501) 676-5100
Entity
Organization
Contact information
Practice address
1300 N CENTER ST, STE A, LONOKE, AR 72086-2011
(501) 676-5100
(501) 676-5015
Mailing address
1300 N CENTER ST, SUITE A, LONOKE, AR 72086-2011
(501) 676-5100
(501) 676-5015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2273
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B171
AR BLUE CROSS BLUE SHIELD
AR
01
—
DG3692
RAILROAD MEDICARE
AR
Enumeration date
08/16/2006
Last updated
03/20/2008
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