Provider Demographics
NPI:1669839486
Name:CJMH, LLC
Entity Type:Organization
Organization Name:CJMH, LLC
Other - Org Name:ARKANSAS EYE SITE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BART
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:870-333-1087
Mailing Address - Street 1:800 PROFESSIONAL ACRES DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4340
Mailing Address - Country:US
Mailing Address - Phone:870-358-2236
Mailing Address - Fax:870-358-4692
Practice Address - Street 1:116 NATHAN ST
Practice Address - Street 2:
Practice Address - City:MARKED TREE
Practice Address - State:AR
Practice Address - Zip Code:72365-1448
Practice Address - Country:US
Practice Address - Phone:870-358-2236
Practice Address - Fax:870-358-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty