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NPI 1811696438

NPI 1811696438 : RIVER MOUNTAIN EYE CARE, INC. : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1811696438
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIVER MOUNTAIN EYE CARE, INC. 
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Dates
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    Enumeration Date     |    03/02/2023
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    Last Update Date     |    01/09/2024
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Provider Practice Location Address
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    Address Line         |    19301 CANTRELL RD 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72223-4457
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    Country              |    US
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    Telephone            |    501-500-2928
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 21111 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72221-1111
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    Country              |    US
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    Telephone            |    501-353-5993
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. VALERIE  ARNOLD 
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    Credential           |    OD
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    Telephone            |    501-353-5993
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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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