Organization
HUBBARD EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH N HUBBARD JR. OD (OWNER)
(870) 741-2787
Entity
Organization
Contact information
Practice address
519 N WILLOW ST, HARRISON, AR 72601-3518
(870) 741-2787
(870) 741-6714
Mailing address
519 N WILLOW ST, PO BOX 2417, HARRISON, AR 72601-3518
(870) 741-2787
(870) 741-6714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142170722
—
AR
01
—
410012113
RAILROAD MEDICARE
AR
01
—
CH8765
TRAVELERS/RAILROAD MEDICARE
AR
Enumeration date
02/23/2006
Last updated
04/28/2008
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