| NPI | 1568597409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY CHILDERS Optometric Physician 870-238-9407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AR 2038) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-04-06 |