Individual
DR. STEVEN T RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
105 SAWGRASS PT, HARRISON, AR 72601-3072
(870) 741-1910
(870) 741-6331
Mailing address
PO BOX 444, MOUNTAIN HOME, AR 72654-0444
(870) 424-4900
(870) 741-6331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2441
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128334722
—
AR
Enumeration date
05/24/2005
Last updated
08/20/2021
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