Whalio Doctors

NPI 1053486803

Deblack Eye Care Center, P.A.

Organisation Optometrist Conway, AR

Practice location

Address
4150 Tyler Street, Suite 1, Conway, AR 72034
Phone
(501) 329-7878
Fax
(501) 329-7881

Authorised official

Name
Susan Sanders Deblack
Title
Optometrist
Phone
(501) 329-7878

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X

Registry record

NPI
1053486803
Entity type
Organization
NPI issued
21 Nov 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.