Organization
JUSTIN S. MCMINN, O.D.,P.A.
Active
Other names
McMinn Eye Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN S MCMINN O.D. (OWNER/PRESIDENT)
(501) 982-0032
Entity
Organization
Contact information
Practice address
2650 JOHN HARDEN DR, SUITE D, JACKSONVILLE, AR 72076-1886
(501) 982-0032
(501) 982-0121
Mailing address
2650 JOHN HARDEN DR, SUITE D, JACKSONVILLE, AR 72076-1886
(501) 982-0032
(501) 982-0121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2526
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155018722
—
AR
Enumeration date
07/13/2006
Last updated
09/14/2016
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