Healthcare Provider Details

I. General information

NPI: 1316026891
Provider Name (Legal Business Name): DAN T SPEIR OD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 HWY 62 412 STE B
HARDY AR
72542
US

IV. Provider business mailing address

PO BOX 59
HARDY AR
72542
US

V. Phone/Fax

Practice location:
  • Phone: 870-994-2775
  • Fax: 870-994-3032
Mailing address:
  • Phone: 870-994-2775
  • Fax: 870-994-3032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2181
License Number StateAR

VIII. Authorized Official

Name: MR. DANNY THOMAS SPEIR
Title or Position: OPTOMETRIST OWNER
Credential: OPTOMETRIST
Phone: 870-994-2775