Organization
KIMBERLY A. OWENS, OPTOMETRIC PHYSICIAN, PA
Active
Parent organization
KIMBERLY A. OWENS, OPTOMETRIC PHYSICIAN, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBERLY A. OWENS, OPTOMETRIC PHYSICIAN, PA
Authorized official
MRS. VERA WILLIAMS (OFFICE MANAGER)
(479) 750-9996
Entity
Organization
Contact information
Practice address
1602 E ROBINSON AVE STE M, SPRINGDALE, AR 72764-6045
(479) 750-9996
Mailing address
1602 E ROBINSON AVE STE M, SPRINGDALE, AR 72764-6045
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2520
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154495722
—
AR
Enumeration date
05/23/2008
Last updated
06/06/2008
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