MEDICARE: DACUS & DACUS OD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1427231836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DACUS & DACUS OD PA

Provider Business Mailing Address
First Line	:	604 W ARCH AVE
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-5206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	604 W ARCH AVE
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-5206
Country	:	US
Telephone Number	:	501-268-7141
Fax Number	:	501-268-9070

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT M DACUS
Credential	:
Telephone Number	:	501-268-7141

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	06/19/2013

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