Stuckey, John E.

Stuckey, John E. is an individual health care provider with primary practice located at 9600 Lile Dr 230 Doctors Park Building, Little Rock AR 72205-6326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stuckey, John E. can be contacted via phone (501) 227-6797.

Contact Information

Primary practice address
9600 Lile Dr 230 Doctors Park Building Little Rock AR 72205-6326
Fax: (501) 228-6336
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2187 Arkansas

Profile Details

NPI number 1306806609
LBN Legal business name Stuckey, John E.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 7th, 2012 - about 12 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 1306806609 NPPES
Arkansas MEDICAID 105025722

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