Organization
C MICHAEL FLETCHER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M FLETCHER O.D. (PRESIDENT)
(870) 930-9200
Entity
Organization
Contact information
Practice address
1817 EXECUTIVE SQ, JONESBORO, AR 72401-6086
(870) 930-9200
Mailing address
1817 EXECUTIVE SQ, JONESBORO, AR 72401-6086
(870) 930-9200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2392
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184670722
—
AR
01
—
48346
BCBS
AR
Enumeration date
04/22/2008
Last updated
04/07/2011
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