Todd, Charles L

Todd, Charles L is an sole proprietor health care provider with primary practice located at 552 Locust St , Conway AR 72034-5325. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Todd, Charles L can be contacted via phone (501) 329-6859.

Contact Information

Primary practice address
552 Locust St Conway AR 72034-5325
Phone: (501) 329-6859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2476 Arkansas

Profile Details

NPI number 1275619876
LBN Legal business name Todd, Charles L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Aug 18th, 2009 - about 15 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 1275619876 NPPES
Arkansas MEDICAID 134909722

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