Organization
MICHAEL D. KILLOUGH, O.D. P.A.
Active
Other names
Vision Care Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D KILLOUGH O.D. P.A. (PRESIDENT)
(870) 910-5493
Entity
Organization
Contact information
Practice address
1801 RED WOLF BLVD, SUITE 101, JONESBORO, AR 72401-5450
(870) 910-5493
(870) 336-1775
Mailing address
1801 RED WOLF BLVD, SUITE 101, JONESBORO, AR 72401-5450
(870) 910-5493
(870) 336-1775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2528
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155151722
—
AR
Enumeration date
07/22/2009
Last updated
09/04/2015
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