MEDICARE: JAMES L. SUMMERS, 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	2189	AR

General Provider Information

NPI Number	:	1588848550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES L. SUMMERS, O.D.

Provider Business Mailing Address
First Line	:	1419 CENTRAL AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-6149
Country	:	US
Telephone Number	:	501-623-7732
Fax Number	:	501-623-8753

Provider Business Practice Location Address
First Line	:	1419 CENTRAL AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-6149
Country	:	US
Telephone Number	:	501-623-7732
Fax Number	:	501-623-8753

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES L SUMMERS
Credential	:	O.D.
Telephone Number	:	501-623-7732

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	01/17/2008

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