DR. RICKEY D MEDLOCK M.D. NPI 1366424996

NPI Information

DR. Rickey D Medlock, M.D. is a retina specialist ophthalmology in Little Rock, AR. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Rickey D Medlock, M.D. NPI is 1366424996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9800 BAPTIST HEALTH DR STE 200
LITTLE ROCK, AR
ZIP 72205-243
Phone: (501) 219-0900
Fax: (501) 312-4750

The NPI 1366424996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 4/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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