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Contact Information

ICEM E BREWER, OD
4201 N SHILOH DR STE 1235
FAYETTEVILLE, AR72703-5303
 Phone: 479-444-8705
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for ICEM E BREWER · (Male)

NPI # 1316166697
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/24/2007
Last updated 07/06/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 2559
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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