Organization
RAINES INVISION EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY D RAINES OD (OPTOMETRIC PHYSICIAN)
(870) 336-3937
Entity
Organization
Contact information
Practice address
2704 ALEXANDER DR, SUITE E, JONESBORO, AR 72401-7070
(870) 336-3937
(870) 336-3934
Mailing address
PO BOX 17287, JONESBORO, AR 72403-6723
(870) 336-3937
(870) 336-3934
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PC-130
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00696627
OPTICHOICE
AR
05
—
155047722
—
AR
01
—
25158
SPECTERA
AR
01
—
5069225
AETNA
AR
01
—
5F149
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/21/2006
Last updated
01/29/2008
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