Organization
ARKANSAS FAMILY EYECARE OF MALVERN
Active
Other names
Justus Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
TASKER RODMAN III OD (PARTNER)
(501) 225-9944
Entity
Organization
Contact information
Practice address
1023 S MAIN ST, MALVERN, AR 72104-5222
(501) 332-6262
(501) 337-0373
Mailing address
11225 HURON LN STE 200A, LITTLE ROCK, AR 72211-1861
(501) 225-9944
(501) 225-9933
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232911722
—
AR
Enumeration date
07/25/2018
Last updated
06/24/2020
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