Centerton Family Eyecare, P.a. | |
101 Dawn Dr, Centerton, AR 72719-9314 | |
(479) 795-1411 | |
(479) 795-1412 |
Full Name | Centerton Family Eyecare, P.a. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 101 Dawn Dr, Centerton, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457412991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2567 (Arkansas) | Primary |
Provider Name | Megan Jo Petty |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255332433 PECOS PAC ID: 7810916145 Enrollment ID: I20051116000537 |
Provider Name | Regan S Petty |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588666499 PECOS PAC ID: 4880613678 Enrollment ID: I20060314000026 |
Provider Name | Jacob J Dufour |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730556580 PECOS PAC ID: 8224326640 Enrollment ID: I20161018000095 |
Provider Name | David Patrick Hurd |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851858252 PECOS PAC ID: 1658608385 Enrollment ID: I20190802002810 |
Mailing Address | Practice Location Address |
---|---|
Centerton Family Eyecare, P.a. 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411 | Centerton Family Eyecare, P.a. 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411 |
Dr. Megan Jo Petty, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-426-1660 | |
Kayton Coffee, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 | |
Pediatric Vision Development Center Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 | |
Dr. Regan Skye Petty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-426-1660 | |
Jacob Dufour, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 |