NPI 1124864111

Bryley Jae Banks, OD

Practitioner Optometrist Fort Smith, AR

Practice location

Address: 1021 S Waldron Rd, Fort Smith, AR 72903-2549
Phone: (417) 629-0505

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2882 (AR)

Other Optometrist providers in Arkansas →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2024020536 (MO)

Registry record

NPI: 1124864111
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2024
Record last updated: 8 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.