Individual
DR. JIM DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
112 COUNTY 301, EUREKA SPRINGS, AR 72632-9192
(479) 445-0317
(479) 253-9479
Mailing address
112 COUNTY 301, EUREKA SPRINGS, AR 72632-9192
(479) 445-0317
(479) 253-9479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2261
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104766722
—
AR
01
—
410002993
RAILROAD MEDICARE
—
Enumeration date
05/11/2006
Last updated
02/14/2014
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