MEDICARE: EYECARE ASSOCIATES, LLC

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

General Provider Information

NPI Number	:	1871807123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYECARE ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	3929 MCCAIN BLVD STE G07A
Second Line	:	MCCAIN MALL
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-8005
Country	:	US
Telephone Number	:	501-791-7117
Fax Number	:

Provider Business Practice Location Address
First Line	:	3929 MCCAIN BLVD STE G07A
Second Line	:	MCCAIN MALL
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-8005
Country	:	US
Telephone Number	:	501-791-7117
Fax Number	:

Authorized Official
Title or Position	:	OWNER / DOCTOR
Name	:	MR. CLIFTON WAYNE RIDINGS JR.
Credential	:	O.D.
Telephone Number	:	501-791-7117

Provider Enumeration Date	:	07/28/2010
Last Update Date	:	07/20/2011

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Directions to “EYECARE ASSOCIATES, LLC ” Practice Location

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