Community Vision Center Mossco INC Dr Randy Wayne Moss Od

NPI #1447330659 in Arkadelphia, Arkansas

Provider Information

NPI Number: 1447330659
Entity Type: Organization
Organization Name: Community Vision Center Mossco INC Dr Randy Wayne Moss Od
Primary Specialty: Optometrist
Enumeration Date: Oct 16, 2006
Last Updated: Dec 27, 2007

Practice Location

Address: 109 WP MALONE
City: Arkadelphia
State: Arkansas
ZIP Code: 71923
Phone: (870) 246-6877

Authorized Official

Name: DR. RANDY WAYNE MOSS, OD
Title: OPTOMETRIST OWNER
Phone: (870) 246-6877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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