NPI 1881285187 · live from the CMS NPI Registry
Jtd MD PLLC
Ophthalmology, Retina Specialist in Fayetteville, AR. National Provider Identifier 1881285187, active.
NPI record
| NPI | 1881285187 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 1794 E Joyce Blvd Ste 3, Fayetteville, AR 72703 |
| Practice phone | 479-234-4499 |
| Enumerated | January 29, 2021 |
| Last updated | November 11, 2021 |
| Authorized official | Rick Kamerer, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Retina Specialist primary | 207WX0107X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.