Organization
CUSTOM EYES VISION CARE OF NEWPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN T MCDOWELL OD (OWNER)
(870) 523-3333
Entity
Organization
Contact information
Practice address
1920 MALCOLM AVE, NEWPORT, AR 72112-3628
(870) 882-3530
(855) 838-5851
Mailing address
1920 MALCOLM AVE, NEWPORT, AR 72112-3628
(870) 523-3333
(558) 838-5851
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23406722
—
AR
Enumeration date
04/01/2008
Last updated
07/23/2021
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