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General NPI Number Information
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NPI Number | 1245393271
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Entity Type | Organization
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Legal Business Name | BRIGHT EYE CARE
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 3121 N REYNOLDS RD STE 4
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City | BRYANT
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State | AR
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Zip | 72022-9190
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Country | US
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Telephone | 501-653-2442
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Fax | 501-653-2404
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Provider Business Mailing Address
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Address Line | 3121 N REYNOLDS RD STE 4
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City | BRYANT
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State | AR
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Zip | 72022-9190
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Country | US
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Telephone | 501-653-2442
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Fax | 501-653-2404
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Authorized Official
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Title or Position | OPTOMETRISTOWNER
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Name | JASON BRIGHT
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Credential | O.D.
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Telephone | 501-653-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2553
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License Number State | AR
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