Jerry Randall Nutt in Camden - Optometrist

Jerry Randall Nutt - NPI 1871685065

Jerry Randall Nutt is a Optometrist in Camden, Arkansas. Jerry Randall Nutt practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerry Randall Nutt is 1871685065. The last update date is 2011-05-10.

Jerry Randall Nutt's current location address is 515 Cash Rd Sw, Camden, Arkansas. You can contact this provider via phone number 8708362525 and fax number 8708367252. The mailing address for Jerry Randall Nutt is 515 Cash Rd Sw, Camden, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Randall Nutt
Address 515 Cash Rd Sw, Camden, Arkansas
Phone Number 8708362525
Fax Number 8708367252
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1871685065
Provider Enumeration Date 2006-09-28
Last Updated Date 2011-05-10

Provider Mailing Address Detail

Address 515 Cash Rd Sw
City Camden
State Arkansas (AR)
Post Code 717013706
Phone Number 8708362525
Fax Number 8708367252

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2570
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
49958 AR ARK BCBS
49958 AR BLUE CARD/AR BCBS
49958 AR ARK BCBS MEDIPAK
49958 AR BLUE ADVANTAGE
180852722 AR --
49958 AR MEDIPAK ADVANTAGE
49958 AR HEALTH ADVANTAGE

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FAQs about Jerry Randall Nutt

What is the unique identification code assigned to Jerry Randall Nutt by the Centers for Medicare & Medicaid Services?

The Jerry Randall Nutt has been issued the NPI (National Provider Identifier) 1871685065. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jerry Randall Nutt is physically located?

The Jerry Randall Nutt is physically situated at the following address: 515 Cash Rd Sw, Camden, AR, 717013706.

What is Jerry Randall Nutt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jerry Randall Nutt is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

When was the Jerry Randall Nutt's 1871685065 issued?

The Jerry Randall Nutt's 1871685065 was issued on 2006-09-28.

As of what date were the details pertaining to Jerry Randall Nutt last refreshed?

The information related to the Jerry Randall Nutt, including its address, specialty, and other relevant details, was last updated on 2011-05-10.

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