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3705 E Johnson Ave, Jonesboro, AR 72401-1858 | |
| (870) 336-2452 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3705 E Johnson Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447584396 | NPI | - | NPPES |
| 175609722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | PC-148 (Arkansas) | Primary |
| Provider Name | Jacob P Moll |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942493234 PECOS PAC ID: 7315014271 Enrollment ID: I20080919000029 |
| Provider Name | Megan L Moll |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386877405 PECOS PAC ID: 7719023621 Enrollment ID: I20091007000326 |
| Provider Name | Blaine Carson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275168213 PECOS PAC ID: 5991127631 Enrollment ID: I20200625000471 |
| Mailing Address | Practice Location Address |
|---|---|
3705 E Johnson Ave, Jonesboro, AR 72401-1858 Ph: (870) 336-2452 | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 Ph: (870) 336-2452 |
Valley View Vision, P.l.l.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1911 W Parker Rd, Jonesboro, AR 72404 Phone: 615-415-3020 | |
Dr. Larry Mcnamara, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 514 Southwest Dr, Jonesboro, AR 72401 Phone: 870-972-6040 Fax: 870-972-5337 | |
Jerry Tuck Young, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 623 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-932-2211 Fax: 870-972-5152 | |
Dr. Harry Jethro Harrell, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 Professional Acres Dr, Jonesboro, AR 72401 Phone: 870-333-1087 Fax: 870-333-1088 | |
Layton Eye Clinic, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 2706 Phillips Dr, Jonesboro, AR 72401 Phone: 870-932-9800 Fax: 870-932-8111 | |
Visionary Eye Care, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 2980 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-5540 Fax: 870-972-5684 | |