NPI 1760627376

Graham Cloverleaf Optical INC.

Organisation Optometrist Van Buren, AR

Practice location

Address: 113 N Plaza CT, Van Buren, AR 72956-2269
Phone: (479) 474-7878
Fax: (479) 471-1476

Authorised official

Name: Kelly L Graham
Title: Owner/Optometrist
Phone: (479) 474-7878

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence AR2380 (AR)

Other Optometrist providers in Arkansas →

Registry record

NPI: 1760627376
Entity type: Organization
NPI issued: 10 Dec 2008
Record last updated: 15 May 2024

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.