| NPI | 1306463617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LITTLE Director Of Health Care Contracting 479-277-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |