Organization
SOUTHERN EYE ASSOCIATES LTD
Active
Parent organization
SOUTHERN EYE ASSOCIATES LTD
Other names
HARRIS EYE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN EYE ASSOCIATES LTD
Authorized official
KELLY E CHRONISTER (ADMINISTRATOR)
(870) 935-6396
Entity
Organization
Contact information
Practice address
901 LINWOOD DR, PARAGOULD, AR 72450-4854
(870) 239-2251
(870) 239-6017
Mailing address
901 LINWOOD DR, PARAGOULD, AR 72450-4854
(870) 239-2251
(870) 239-6017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2310
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0764
RAILROAD MEDICARE
AR
Enumeration date
10/06/2006
Last updated
04/11/2013
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