Organization
MOON EYE CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY ALAN MOON O.D. (OPTOMETRIC PHYSICIAN)
(501) 362-8191
Entity
Organization
Contact information
Practice address
509 N 2ND ST, HEBER SPRINGS, AR 72543-2513
(501) 362-8191
(501) 362-3096
Mailing address
PO BOX 2, HEBER SPRINGS, AR 72543-0002
(501) 362-8191
(501) 362-3096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2250
AR
Other
Enumeration date
11/01/2006
Last updated
04/17/2008
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