Provider Demographics
NPI:1134797186
Name:HUDSON, EVA (OD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:
Last Name:HUDSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15104 CHENAL PKWY STE 11000
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211
Mailing Address - Country:US
Mailing Address - Phone:501-512-0190
Mailing Address - Fax:501-512-1524
Practice Address - Street 1:15104 CHENAL PKWY STE 11000
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211
Practice Address - Country:US
Practice Address - Phone:501-512-0190
Practice Address - Fax:501-512-1524
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPENDING152W00000X
AR2824152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist