Organization
WALLACE EYE CLINIC OPTICAL SHOP
Active
Other names
Wallace Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GAIL NANETTE BRYANT (BUSINESS MANGER)
(501) 624-0609
Entity
Organization
Contact information
Practice address
211 MCAULEY CT, HOT SPRINGS, AR 71913-6314
(501) 624-0609
(501) 624-6191
Mailing address
211 MCAULEY CT, HOT SPRINGS, AR 71913-6314
(501) 624-0609
(501) 624-6191
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2006
Last updated
06/12/2008
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