Provider Demographics
NPI:1376659334
Name:LAYTON, ERIC KYE (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:KYE
Last Name:LAYTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 PHILLIPS DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7332
Mailing Address - Country:US
Mailing Address - Phone:870-932-9800
Mailing Address - Fax:870-932-8111
Practice Address - Street 1:2706 PHILLIPS DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7332
Practice Address - Country:US
Practice Address - Phone:870-932-9800
Practice Address - Fax:870-932-8111
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2461152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR49281Medicare ID - Type Unspecified
U66959Medicare UPIN