Individual
DR. BRITTANY B. BOYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
305 E KIEHL AVE, SHERWOOD, AR 72120-2921
(501) 835-3937
(501) 835-2040
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2586
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166521722
—
AR
01
—
49997
AR BLUECROSS BLUE SHIELD
AR
01
—
49997B171
AR BLUECROSS BLUE SHIELD
AR
01
—
49997F895
AR BLUECROSS BLUE SHIELD
AR
Enumeration date
07/06/2007
Last updated
11/06/2020
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