Dr. Jerry L. Shue
NPI #1487735718 in N Little Rock, Arkansas
Provider Information
- NPI Number
- 1487735718
- Entity Type
- Organization
- Organization Name
- Dr. Jerry L. Shue
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 406 W PERSHING BLVD
- City
- N Little Rock
- State
- Arkansas
- ZIP Code
- 72114-2146
- Phone
- (501) 753-3145
Authorized Official
- Name
- DR. JERRY LESTER SHUE, OD
- Title
- OWNER
- Phone
- (501) 753-3145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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