John Bradley Witherspoon in Conway - Optometrist

John Bradley Witherspoon - NPI 1336131887

John Bradley Witherspoon is a Optometrist in Conway, Arkansas. John Bradley Witherspoon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for John Bradley Witherspoon is 1336131887. The last update date is 2010-08-09.

John Bradley Witherspoon's current location address is 1155 Hwy 65 North, Conway, Arkansas. You can contact this provider via phone number 5013289500 and fax number 5013285148. The mailing address for John Bradley Witherspoon is 1155 Hwy 65 North, Conway, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Bradley Witherspoon
Address 1155 Hwy 65 North, Conway, Arkansas
Phone Number 5013289500
Fax Number 5013285148
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1336131887
Provider Enumeration Date 2005-08-19
Last Updated Date 2010-08-09

Provider Mailing Address Detail

Address 1155 Hwy 65 North
City Conway
State Arkansas (AR)
Post Code 72032
Phone Number 5013289500
Fax Number 5013285148

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2272
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
106399722 AR --

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FAQs about John Bradley Witherspoon

What is the unique 10-digit identifier code issued to John Bradley Witherspoon by the Centers for Medicare & Medicaid Services?

The John Bradley Witherspoon has been assigned the NPI (National Provider Identifier) 1336131887 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where John Bradley Witherspoon's facilities are geographically located?

The facilities of John Bradley Witherspoon are physically situated at the following location: 1155 Hwy 65 North, Conway, AR, 72032.

What is the John Bradley Witherspoon's area of specialization and corresponding taxonomy classification?

The John Bradley Witherspoon's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

On what date did the John Bradley Witherspoon receive the assignment of its 1336131887 from the Centers for Medicare & Medicaid Services?

The John Bradley Witherspoon was issued its 1336131887 by the Centers for Medicare & Medicaid Services on 2005-08-19.

As of what date were the details related to John Bradley Witherspoon most recently updated or revised?

The information pertaining to John Bradley Witherspoon, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-09.

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