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Eagle Mountain Eye Care

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

NPI number1407119985
StatusActive
Last updated in NPPESJun 20, 2012

Details

NPI
1407119985
Entity type
Organization (NPI-2)
Legal business name
Eagle Mountain Eye Care
Organization subpart
No
Enumeration date
Jun 20, 2012
Last updated
Jun 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2657ARYes

Practice location

3150 Harrison St
Batesville, AR 72501-7515

Phone 870-793-6544 · Fax 870-793-7024

Mailing address

3150 Harrison St
Batesville, AR 72501-7515

Phone 870-793-6544 · Fax 870-793-7024

Authorized official

Dustin Vance
President
5733822974

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