Jonathan Simmons, OPTOMETRIST Valid NPI
Individual provider · Optometrist · Marianna, AR
- NPI
- 1467469718
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2390 (AR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-01
- Last updated
- 2010-08-30
Practice location
219 W. Chestnut
Marianna, AR 72360
(870) 295-3636