Richard W Wike O D PA

NPI #1104968510 in Bella Vista, Arkansas

Provider Information

NPI Number: 1104968510
Entity Type: Organization
Organization Name: Richard W Wike O D PA
Primary Specialty: Optometrist
Enumeration Date: Feb 13, 2007
Last Updated: Jan 19, 2010

Practice Location

Address: 2829 BELLA VISTA WAY
City: Bella Vista
State: Arkansas
ZIP Code: 72714-3709
Phone: (479) 855-0009

Authorized Official

Name: DR. RICHARD W WIKE, OD
Title: PRESIDENT
Phone: (479) 855-0009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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