NPI 1164433876

Tim E Elcyzyn, OD

Practitioner Optometrist Pine Bluff, AR

Practice location

Address: 3805 W 28th Ave, Pine Bluff, AR 71603-4774
Phone: (870) 536-3100
Fax: (870) 536-3100

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2569 (AR)

Other Optometrist providers in Arkansas →

Registry record

NPI: 1164433876
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2006
Record last updated: 28 Mar 2008

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.