Organization
WELLS FAMILY EYECARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTY MICHELLE CLARK-WELLS O,D, (OWNER)
(870) 570-0400
Entity
Organization
Contact information
Practice address
804 MEDICAL DR, MANILA, AR 72442-8305
(870) 570-0400
(870) 570-0402
Mailing address
804 MEDICAL DR, MANILA, AR 72442-8305
(870) 570-0400
(870) 570-0402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2616
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185784722
—
AR
Enumeration date
11/05/2015
Last updated
11/05/2015
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