Organization
EYE ASSOCIATES LEASING COMPANY INCORPORATED
Active
Other names
Boozman-Hof Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL E. COLE M.D. (PRESIDENT/CEO)
(479) 246-1700
Entity
Organization
Contact information
Practice address
25 CUNNINGHAM COR, BELLA VISTA, AR 72714-3520
(479) 246-1730
(479) 936-8799
Mailing address
3737 W WALNUT ST, ROGERS, AR 72756-1839
(479) 246-1730
(479) 936-8799
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101176716
—
AR
Enumeration date
03/16/2006
Last updated
08/22/2013
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