Organization
CRESTVIEW OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D PHILLIPS M.D. (PHYSICIAN/OWNER)
(501) 985-0616
Entity
Organization
Contact information
Practice address
521 MARSHALL RD, JACKSONVILLE, AR 72076-3749
(501) 985-0616
Mailing address
521 MARSHALL RD, JACKSONVILLE, AR 72076-3749
(501) 985-0616
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP1100385
AR
Other
Enumeration date
10/02/2006
Last updated
07/03/2013
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