Organization
MAUMELLE EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK S LONG O.D. (DOCTOR)
(501) 803-3937
Entity
Organization
Contact information
Practice address
301 MILLWOOD CIR STE 107A, MAUMELLE, AR 72113-6360
(501) 803-3937
(501) 803-3962
Mailing address
301 MILLWOOD CIR STE 107A, MAUMELLE, AR 72113-6360
(501) 803-3937
(501) 803-3962
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2547
AR
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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