Deblack Eye Care Center, P.a.

NPI #1053486803 in Conway, Arkansas

Provider Information

NPI Number: 1053486803
Entity Type: Organization
Organization Name: Deblack Eye Care Center, P.a.
Primary Specialty: Optometrist
Enumeration Date: Nov 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4150 TYLER STREET,
Address 2: SUITE 1
City: Conway
State: Arkansas
ZIP Code: 72034
Phone: (501) 329-7878

Authorized Official

Name: DR. SUSAN SANDERS DEBLACK, O.D.
Title: OPTOMETRIST
Phone: (501) 329-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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