Organization
MARTHA ELLEN MYERS, O.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ELLEN MYERS O.D. (PRESIDENT)
(479) 527-9790
Entity
Organization
Contact information
Practice address
2875 W 6TH ST, FAYETTEVILLE, AR 72704-7625
(479) 527-9790
(479) 527-9792
Mailing address
2875 W 6TH ST, FAYETTEVILLE, AR 72704-7625
(479) 527-9790
(479) 527-9792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2490
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154135722
—
AR
Enumeration date
08/05/2006
Last updated
03/25/2011
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