| NPI | 1417765488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M. PENICK Ophthalmologist/Lasik Surgeon 501-712-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2025-01-13 |