Provider Demographics
NPI:1437805793
Name:ZACHRY, BAILEY (OD)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:ZACHRY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:BURNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:11225 HURON LN STE 200A
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-1861
Mailing Address - Country:US
Mailing Address - Phone:501-663-1131
Mailing Address - Fax:501-663-1413
Practice Address - Street 1:424 N UNIVERSITY AVE STE 5
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3266
Practice Address - Country:US
Practice Address - Phone:501-663-1131
Practice Address - Fax:501-663-1413
Is Sole Proprietor?:No
Enumeration Date:2022-02-25
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2841152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist