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Organization

EYE CENTER, PA

Active
Other names
Eye Center, PA
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAILA R JAMES MBA (ADMINISTRATOR)
(479) 442-2020
Entity
Organization

Contact information

Practice address
594 E MILLSAP RD, FAYETTEVILLE, AR 72703-4096
(479) 442-2020
(479) 521-3988
Mailing address
594 E MILLSAP RD, FAYETTEVILLE, AR 72703-4096
(479) 442-2020
(479) 521-3988

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113066002
AR
05
127791722
AR
Enumeration date
09/27/2006
Last updated
07/16/2013
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