Individual
EDDIE SCOTT EPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
608 E NORTH ST, MAGNOLIA, AR 71753-3121
(870) 234-6241
(870) 234-3771
Mailing address
608 E NORTH ST, MAGNOLIA, AR 71753-3121
(870) 234-6241
(870) 234-3771
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5994T
TX
152W00000X
Optometrist
Primary
AR2327
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057FA
BCBS OF TEXAS
TX
01
—
410011307
RAIL ROAD MEDICARE
AR
Enumeration date
08/03/2006
Last updated
03/06/2012
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