DR. SUSAN DEBLACK, O.D.

Optometrist

Active Individual
NPI: 1245224179

Practice Address

4150 TYLER ST.
SUITE 1
Conway, AR 72034

Phone: (501) 329-7878

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 2410 (AR)

Frequently Asked Questions

NPI 1245224179 is the National Provider Identifier for DR. SUSAN DEBLACK, O.D., a Optometrist provider located in Conway, AR. This NPI was enumerated on September 7, 2005.
DR. SUSAN DEBLACK, O.D. practices at 4150 TYLER ST., SUITE 1, Conway, AR 72034.

Quick Facts

NPI
1245224179
Type
Individual
Enumerated
Sep 7, 2005
Last Updated
Jul 8, 2007

Nearby Providers