OrganizationActive
Alloplastic Reconstruction
NPI 1598049744 · Ocularist · Little Rock, AR
Provider details
- NPI number
- 1598049744
- Entity type
- Organization
- Primary specialty
- OcularistEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Kaczkowski, President(501) 265-0100
Specialties & taxonomies
Eye and Vision Services Providers
- Anaplastologist229N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Customized Equipment (DME)332BC3200X
Suppliers
- Specialist174400000X
Other Service Providers
Suppliers
Practice location
3924 W Markham St
Little Rock, AR 72205-5528
Phone: (501) 265-0100
Fax: (501) 265-0102
Approximate (ZIP-level) locationGet directions
Mailing address
3924 W Markham St
Little Rock, AR 72205-5528
Registry dates
- Enumerated
- 2011-10-06
- Last updated
- 2018-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.