Individual
RICKY DALE MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2524 CRESTWOOD RD, NORTH LITTLE ROCK, AR 72116-7623
(501) 753-2030
Mailing address
2524 CRESTWOOD RD, NORTH LITTLE ROCK, AR 72116-7623
(501) 753-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2348
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102210722
—
AR
Enumeration date
06/06/2006
Last updated
03/18/2014
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