Mr. John Bradley Witherspoon is a Conway, Arkansas based male Optometrist who is specialized in Optometry. Active license number of Mr. John Bradley Witherspoon is 2272 for Optometry in Arkansas. Mr. John Bradley Witherspoon examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. John Bradley Witherspoon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
1155 Hwy 65 North, Conway, Arkansas, 72032
Phone:
501-328-9500
Fax:
501-328-5148
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1336131887
NPI Enumeration Date:
19 Aug, 2005
NPI Last Update On:
09 Aug, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. John Bradley Witherspoon are as mentioned below.
License Number
Specialization
State
Status
2272
Optometry
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. John Bradley Witherspoon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
106399722
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1155 Hwy 65 North, Conway, Arkansas
Zip:
72032
Phone Number:
501-328-9500
Fax Number:
501-328-5148
Patients can reach Mr. John Bradley Witherspoon at 1155 Hwy 65 North, Conway, Arkansas or can call to book an appointment on 501-328-9500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.