Organization
FAYETTEVILLE EYECARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASKER N RODMAN II O.D. (MANAGING PARTNER)
(501) 225-9944
Entity
Organization
Contact information
Practice address
1915 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2617
(479) 442-8961
(479) 442-6440
Mailing address
11225 HURON LN STE 200A, LITTLE ROCK, AR 72211-1861
(479) 442-8961
(479) 442-6440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182431722
—
AR
Enumeration date
10/06/2009
Last updated
06/24/2020
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