Organization
AMY J S DAIBER OD PA
Active
Other names
Daiber Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JEANINE DAIBER OD (PRESIDENT)
(479) 967-6113
Entity
Organization
Contact information
Practice address
317 EAST PARKWAY DRIVE, RUSSELLVILLE, AR 72801-3915
(479) 967-6113
(479) 968-6932
Mailing address
317 EAST PARKWAY DRIVE, RUSSELLVILLE, AR 72801-3915
(479) 967-6113
(479) 968-6932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124538722
—
AR
01
—
5F421
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/07/2007
Last updated
03/31/2014
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