| NPI | 1356651749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA C RIDGEWAY O PT Ometrist/Sole Owner 501-941-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2590) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |