NPI 1104434042

Michael Austin Killingsworth, OD

Practitioner Optometrist West Memphis, AR

Practice location

Address: 798 W Service Rd, West Memphis, AR 72301-1727
Phone: (870) 732-2066
Mailing address: 232 Summitt St APT 3, Memphis, TN 38104-5370

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2820 (AR)

Other Optometrist providers in Arkansas →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3595 (TN)

Registry record

NPI: 1104434042
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2020
Record last updated: 16 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.