Dacus, Robert M

Dacus, Robert M is an sole proprietor health care provider with primary practice located at 604 W Arch Ave , Searcy AR 72143-5206. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dacus, Robert M can be contacted via phone (501) 268-7141.

Contact Information

Primary practice address
604 W Arch Ave Searcy AR 72143-5206
Fax: (501) 268-9070
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ARK 2231 Arkansas

Profile Details

NPI number 1548353626
LBN Legal business name Dacus, Robert M
Credentials OD PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Aug 1st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548353626 NPPES
Arkansas MEDICAID 106519722

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