Individual provider · NPI-1

Kindra Brock, ABOC, Licensed Optic

Technician/Technologist, Optician · Little Rock, AR

NPI number1760808752
StatusActive
Last updated in NPPESMar 14, 2014

Details

NPI
1760808752
Entity type
Individual (NPI-1)
Name
Kindra Brock
Credential
ABOC, Licensed Optic
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2014
Last updated
Mar 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianA-120802ARYes

Practice location

5507 Ranch Dr
Suite 207
Little Rock, AR 72223-4538

Phone 501-200-7442

Mailing address

5507 Ranch Dr
Suite 207
Little Rock, AR 72223-4538

Phone 501-200-7442

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician/Technologist, Optician providers in Little Rock, AR