DR. Wayne Provines, O. D.
NPI #1376506543 in Little Rock Afb, Arkansas
Provider Information
- NPI Number
- 1376506543
- Entity Type
- Individual
- Name
- DR. Wayne Provines, O. D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Optometrist - Occupational Vision
- Credential
- O. D.
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 314 MDG/SGO, 1090 ARNOLD DR
- City
- Little Rock Afb
- State
- Arkansas
- ZIP Code
- 72099-0001
- Phone
- (501) 987-8702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Occupational Vision — Occupational Vision |
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