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Contact Information

PENNY FRESHOUR, OD
900 S BOWMAN RD
LITTLE ROCK, AR72211-3617
 Phone: 501-904-5009
 Fax: 501-217-8679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PENNY FRESHOUR · (Female)

NPI Number 1518016435
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/09/2007
Last updated 11/07/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # AR2483
  • AR Medicaid 135365722
  • AR Other AR2483 AR LICENSE
  • AR Other 19983000040 QUALCHOICE
  • AR Other P00273197 RAILROAD MEDICARE
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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