NPI 1053164210

Dalton McGaugh

Practitioner Optometrist Fayetteville, AR

Practice location

Address: 1100 N College Ave, Fayetteville, AR 72703-1944
Phone: (479) 444-5093
Mailing address: 31807 W 157th St, Excelsior Springs, MO 64024-5221

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3269 (OK)

Other Optometrist providers in Arkansas →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053164210
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2024
Record last updated: 28 Jul 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.