Organization
FAMILY EYECARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY RANDALL NUTT JR. OD (OWNER)
(870) 352-2167
Entity
Organization
Contact information
Practice address
312 N SPRING ST, FORDYCE, AR 71742-3318
(870) 352-2167
(870) 352-8883
Mailing address
312 N SPRING ST, FORDYCE, AR 71742-3318
(870) 352-2167
(870) 352-8883
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2570
AR
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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