Grace, Larry J

Grace, Larry J is an sole proprietor health care provider with primary practice located at 2000 Dodson Ave , Fort Smith AR 72901-4824. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grace, Larry J can be contacted via phone (479) 782-5057.

Contact Information

Primary practice address
2000 Dodson Ave Fort Smith AR 72901-4824
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2071 Arkansas

Profile Details

NPI number 1689889503
LBN Legal business name Grace, Larry J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Mar 12th, 2008 - about 16 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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