Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ICEM E BREWER, O.D.
Active Sole ProprietorDR. ICEM E BREWER, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1316166697 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1316166697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.279755756125 yrs)
- Last Updated
- Jul 6, 2011
- License
-
2559 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4201 N SHILOH DR STE 1235FAYETTEVILLE, AR, 727035303Browse AR providers · Browse ZIP 72703
- Phone
- 4794448705
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.