NPI 1124201744

Donald L. Baker

Organisation Eyewear Supplier Clarksville, AR

Practice location

Address: 210 W Main St, Clarksville, AR 72830-3010
Phone: (479) 754-3309
Fax: (479) 754-3955

Authorised official

Name: Donald L. Baker
Title: Owner
Phone: (479) 754-3309

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 2006 (AR)

Other Eyewear Supplier providers in Arkansas →

Registry record

NPI: 1124201744
Entity type: Organization
NPI issued: 6 Dec 2007
Record last updated: 6 Dec 2007

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.