MEDICARE: CLIFTON W. RIDINGS JR. O.D.

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	152W00000X	Optometrist	002633	TN

General Provider Information

NPI Number	:	1568481646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLIFTON W. RIDINGS JR. O.D.

Provider Business Mailing Address
First Line	:	6000 W MARKHAM ST
Second Line	:	SUITE 3108B
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-3198
Country	:	US
Telephone Number	:	501-280-0382
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 W MARKHAM ST
Second Line	:	SUITE 3108B
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-3198
Country	:	US
Telephone Number	:	501-280-0382
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	11/15/2016

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Directions to “ CLIFTON W. RIDINGS JR. O.D.” Practice Location

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