NPI 1053486803
Deblack Eye Care Center, P.A.
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
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.