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Contact Information

TIM E ELCYZYN, OD
3805 W 28TH AVE
PINE BLUFF, AR71603-4774
 Phone: 870-536-3100
 Fax: 870-536-3100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TIM E ELCYZYN · (Male)

NPI # 1164433876
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/10/2006
Last updated 03/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 2569
  • Other P00362854 RAILROAD MEDICARE PIN
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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