Provider Demographics
NPI:1942418819
Name:HYMAN VISION CLINIC
Entity type:Organization
Organization Name:HYMAN VISION CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:FLOYD
Authorized Official - Last Name:HYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:870-792-8444
Mailing Address - Street 1:710 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:EARLE
Mailing Address - State:AR
Mailing Address - Zip Code:72331-1419
Mailing Address - Country:US
Mailing Address - Phone:870-792-8444
Mailing Address - Fax:
Practice Address - Street 1:710 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:EARLE
Practice Address - State:AR
Practice Address - Zip Code:72331-1419
Practice Address - Country:US
Practice Address - Phone:870-792-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2249152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty