Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2552 | AR |
NPI | 1013087139 |
---|---|
Provider Name | Dr. Leigh E Cox |
First Address | Conway, AR 72034-7974 |
Second Address | Conway, AR 72034-7974 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 21/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
165198722 | (05) | AR |
2552 | LICENSE NUMBER (01) | AR |