Crestview Optical
NPI #1669565255 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1669565255
- Entity Type
- Organization
- Organization Name
- Crestview Optical
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Jul 3, 2013
Practice Location
- Address
- 521 MARSHALL RD
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-3749
- Phone
- (501) 985-0616
Authorized Official
- Name
- DR. JOHN D PHILLIPS, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (501) 985-0616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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