NPI | 1467698779 |
---|---|
Doing Business As | LEWIS FLETCHER BAUGH O.D. |
Entity Type | Organization |
Authorized Contact | FLETCHER BAUGH Owner 501-842-2276 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2009) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AR 2009) |
Enumeration Date | 2008-12-17 |
Last Update Date | 2011-09-30 |