| NPI | 1710952981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY D RAINES Optometric Physician 870-336-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR PC-130) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2008-01-29 |