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Search › Arkansas › 152WC0802X

Icem Brewer, O.D

NPI 1316166697 · on the registry since 2007 · sole proprietor

Practice

Address
4201 N Shiloh Dr Ste 1235
Fayetteville, AR 72703
Phone
(479) 444-8705
Organisation at this address
Luxottica Of America Inc.
Great Orthopedic Alliance Of Therapists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152WC0802X
152WC0802X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas