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Jacksonville Vision Development Center PA

Optometrist in Jacksonville, AR. Organization (NPI-2).

NPI number1336782846
StatusActive
Last updated in NPPESDec 17, 2019

Details

NPI
1336782846
Entity type
Organization (NPI-2)
Legal business name
Jacksonville Vision Development Center PA
Organization subpart
No
Enumeration date
Oct 28, 2019
Certification date
Dec 17, 2019
Last updated
Dec 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

291 N 1st St
Jacksonville, AR 72076-4462

Phone 501-982-1100 · Fax 501-982-0323

Mailing address

410 W Race Ave
Searcy, AR 72143-4133

Phone 501-268-3577 · Fax 501-268-5631

Authorized official

Patricia Flippin Westfall
Owner/President
5012683577

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