Organization
BRYANT EYECARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA D BROWN (OFFICE MANAGER)
(501) 653-2020
Entity
Organization
Contact information
Practice address
2900 HORIZON DR STE 14, BRYANT, AR 72022-9095
(501) 653-2020
Mailing address
2900 HORIZON DR STE 14, BRYANT, AR 72022-9095
(501) 653-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2504
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073564894
NPI
AR
01
—
1316926454
NPI
AR
01
—
1730185588
NPI
AR
Enumeration date
09/29/2006
Last updated
08/22/2020
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