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Contact Information

WAYNE PROVINES, O. D.
314 MDG/SGO, 1090 ARNOLD DR
LITTLE ROCK AFB, AR72099-0001
 Phone: 501-987-8702
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Vision

152WX0102X 41 Optometry
Indicates primary specialty

NPI Profile & details for WAYNE PROVINES · (Male)

NPI # 1376506543
Status Active
Credentials O. D.
Entity Individual
Enumeration date 04/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 9256
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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