Individual
DR. JEFFERY BRAXTON MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.,PA
Contact information
Practice address
830 E ROBINSON AVE, SUITE A, SPRINGDALE, AR 72764-7113
(479) 756-6500
(479) 756-8577
Mailing address
830 E ROBINSON AVE, SUITE A, SPRINGDALE, AR 72764-7113
(479) 756-6500
(479) 756-8577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2519
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154205722
—
AR
01
—
1740224898
NPIN
AR
Enumeration date
06/16/2006
Last updated
01/19/2010
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