Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OP1100450 | AR |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OP1100450 | AR |
NPI | 1255596300 |
---|---|
Provider Name | Dr. William Brian Guice |
First Address | Little Rock, AR 72207-4424 |
Second Address | Little Rock, AR 72207-4424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 08/07/2013 |