Deblack, Susan S

Deblack, Susan S is an individual health care provider with primary practice located at 4150 Tyler St. Suite 1, Conway AR 72034. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Deblack, Susan S can be contacted via phone (501) 329-7878.

Contact Information

Primary practice address
4150 Tyler St. Suite 1 Conway AR 72034
Phone: (501) 329-7878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2410 Arkansas

Profile Details

NPI number 1245224179
LBN Legal business name Deblack, Susan S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 18 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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