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General NPI Number Information
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NPI Number | 1669017596
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Entity Type | Organization
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Legal Business Name | VISUALEYES OPTOMETRY PLLC
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 110 W BROADWAY ST
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City | POCAHONTAS
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State | AR
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Zip | 72455-3405
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Country | US
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Telephone | 870-202-1100
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Fax | 833-293-2984
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Provider Business Mailing Address
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Address Line | 110 W BROADWAY ST
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City | POCAHONTAS
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State | AR
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Zip | 72455-3405
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Country | US
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Telephone | 870-523-3333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY TOLBERT
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Credential | OD
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Telephone | 870-202-1100
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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 |
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