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Organization

DECKER EYE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BOBBY B DECKER OD (OPTOMETRIST/MANAGING MEMBER)
(479) 254-9434
Entity
Organization

Contact information

Practice address
813 W CENTRAL AVE, SUITE 5, BENTONVILLE, AR 72712-5787
(479) 855-0009
(479) 876-7105
Mailing address
813 W CENTRAL AVE, SUITE 5, BENTONVILLE, AR 72712-5787
(479) 855-0009
(479) 876-7105

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2518
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145384722
AR
Enumeration date
08/20/2007
Last updated
12/26/2013
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