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General NPI Number Information
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NPI Number | 1659285658
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Entity Type | Organization
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Legal Business Name | RK VISIONARY INVESTMENTS DBA MEADOR EYE CLINIC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 2524 CRESTWOOD RD STE 1
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-7648
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Country | US
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Telephone | 501-753-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 HOT SPRINGS HWY
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City | BENTON
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State | AR
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Zip | 72019-1894
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Country | US
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Telephone | 501-860-4986
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RUSSELL SIMMONS
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Credential | OD
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Telephone | 501-860-4986
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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 |
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License Number State | NULL
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