Organization
HUBERT L. COCKRUM OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUBERT LAWERENCE COCKRUM (DOCTOR)
(870) 425-1112
Entity
Organization
Contact information
Practice address
2183 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6500
(870) 425-1112
(870) 425-1278
Mailing address
2183 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6500
(870) 425-1112
(870) 425-1278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2230
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110615722
—
AR
01
—
44839
AVESIS
AR
01
—
45623
SPECTERA
AR
01
—
97283
ALWAYS VISION
AR
01
—
P00056615
RAILROAD MEDICARE
AR
Enumeration date
03/11/2008
Last updated
06/25/2008
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